List at least five measures to prevent pressure ulcers on the feet and ankles.
What will be an ideal response?
| · | Suspend the feet off the surface of the bed. |
| · | Keep the skin well-lubricated with lotion. |
| · | Protect the feet from injury. |
| · | Make sure the patient is wearing footwear that fits properly; if footwear fits tightly, notify the nurse. |
| · | Make sure the patient always wears socks under shoes. |
| · | Make sure bed linen is not too tight on the feet. |
| · | Use a bed cradle to keep bedding away from the skin. |
| · | Monitor the skin on the feet and ankles daily and report abnormalities promptly. |
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A primary nutritional intervention for hypertension is
a. decreasing carbohydrates. b. limiting salt. c. increasing protein. d. increasing fluids.
The nurse is conducting a newborn health history assessment. When assessing the use of drugs or alcohol during pregnancy, which questions are appropriate to ask the newborn's mother? Select all that apply
1) "Did you take any prescription medications during pregnancy?" 2) "Did you take any over-the-counter medications during pregnancy?" 3) "Did you consume coffee or energy drinks during pregnancy?" 4) "Did you consume alcohol during pregnancy?" 5) "Did you experience gestational diabetes during pregnancy?"
A nurse observes an acutely psychotic client scratching at his arms with his fingernails until his arms bleed. When asked what is happening, the client states he is trying to let the evil spirits out of his body
He is easily redirected by the nurse, but resumes scratching when the nurse leaves his side. The nurse orders 1:1 supervision of the client to keep him from harming himself. Which principle of bioethics was applied in this situation? 1. Justice 2. Fidelity 3. Beneficence 4. Veracity
A nurse notes that when an infant is startled, she looks at her mother. What conclusion can the nurse make about this infant's development?
A. The child is slow to adapt and is distressed over small changes. B. The developmental needs of the child are not being met. C. The infant can develop other relationships because he is secure. D. The infant has an unstable home environment and is insecure.