The nurse is caring for a client who is at high risk for pressure injury formation because of which factors? Select all that apply.
A. The client is often incontinent of urine.
B. The client uses a wheelchair occasionally.
C. The client is vegan.
D. The client has severe arthritis and has trouble being placed in a lateral position.
E. The client attempts to change position every 15 minutes when sitting in a chair.
Answer: D
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A 55-year-old patient, who has been the primary caregiver for her recently deceased father, tells the nurse that caring for her father has left her feeling exhausted and lonely. What condition should the nurse consider as a risk for this patient?
1. Bipolar disorder 2. Schizoaffective disorder 3. Complicated grief disorder 4. Generalized anxiety disorder netics, childhood trauma, and substance abuse.
For which older patient should the nurse suspect a decline in the responsiveness of the immune system?
1. 78-year-old patient with pneumonia and temperature of 99.5°F 2. 68-year-old patient with a red itchy rash from contact with poison ivy 3. 80-year-old patient with swelling and redness around an abdominal incision 4. 66-year-old patient with 8 mm induration from a mumps skin test 72 hours earlier
A patient is diagnosed with hypoxemia. In which of the following is this impairment in oxygenation most likely seen?
1. diabetic ketoacidosis 2. multiple organ dysfunction syndrome 3. arthritis 4. pneumothorax
A nurse is developing a plan of care for a client newly diagnosed with bulimia nervosa. Which of the following would the nurse expect to implement in conjunction with pharmacologic therapy?
A) Behavioral therapy B) Cognitive behavioral therapy C) Interpersonal therapy D) Family therapy