What should the nurse include in the plan of care to protect the skin integrity of an incontinent patient? (Select all that apply.)
a. Immediately remove wet garments and linens.
b. Wash skin with an antiseptic and towel dry.
c. Inspect for areas of redness and break-down every morning.
d. Apply cornstarch to the perineum to ab-sorb moisture.
e. Apply protective creams per agency poli-cy.
A, E
Any wet clothing or linens should be removed, and protective creams should be applied accord-ing to agency policy. Applying an antiseptic or cornstarch is not recommended because antisep-tics are drying and cornstarch gives rise to yeast infections. The skin should be inspected every time the brief is changed.
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A patient with end-stage renal disease is scheduled for a fistula creation. The nurse would include which of the following in teaching the patient about the fistula?
A) A vein and an artery in your arm will be attached surgically. B) The arm should be immobilized for 4 to 6 weeks. C) One needle will be inserted into the fistula for each dialysis treatment. D) The fistula can be used immediately after the surgery for dialysis treatment.
Warning signs that can assist the critical care nurse in recognizing that an ethical dilemma may exist include which of the following? (Select all that apply.)
a. Family members are confused about what is happening to the patient. b. Family members are in conflict as to the best treatment options. They disagree with each other and cannot come to consensus. c. The family asks that the patient not be told of treatment plans. d. The patient's condition has changed dramatically for the worse and is not responding to conventional treatment. e. The physician is considering trying a medication that is not approved to treat the patient's condition.
Stetler and Marram developed a model concerned with:
a. research use. b. role progression from novice to expert. c. strategies for coping and change. d. system stability and adaptability.
Which of the following conditions can cause an artificial increase in the PAOP/PCWP?
a. Aortic regurgitation b. Aortic stenosis c. Mitral stenosis d. Mitral regurgitation