A nurse is caring for a patient in Buck's traction on bed rest for a fracture of the femur. Which action should the nurse take to help preserve skin integrity?
a. Provide meticulous skin care.
b. Use pain medication to prevent excessive movement.
c. Limit range of joint motion so the patient is not disturbed.
d. Reduce the amount of protein intake so renal function can be preserved.
A
Interventions aimed at prevention of pressure ulcers are positioning, skin care, and the use of pressure-relief devices. Change the immobilized patient's position according to the patient's activity level, perceptual ability, status of peripheral circulation, treatment protocols, and daily routines. A patient needs adequate, not reduced, protein intake to ensure wound healing and tissue growth and to prevent a negative nitrogen balance. Patients whose mobility is restricted require ROM to reduce the hazards of immobility; ROM should not be limited. Pain medication is to relieve pain, not to prevent excessive movement.
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You are preparing immunizations for a 12-month-old child who is immunocompromised. Which immunizations cannot be given? Select all that apply
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A positive budget variance can be identified by which situation?
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A father brings his 3-year-old daughter to the cancer treatment center for a follow-up appointment. The previous rounds of chemotherapy were not successful in treating his daughter's cancer. The plan is to provide an allogeneic transplantation
The father verbalizes an understanding of the process when he states: 1. "An allogeneic transplant puts my daughter as the lowest risk for rejection.". 2. "I will need to get high doses of chemotherapy for the bone marrow to be appropriate for my daughter's body.". 3. "I will need to be in isolation after the donation procedure.". 4. "My daughter will need a transplant from her mother and myself to be successful in curing the disease.".