The nurse should assess a client's risk for pressure ulcer formation :
a. within 24 hours after admission to the hospital or nursing home.
b. before the client is discharged from the hospital.
c. between 24 to 48 hours after admission to the hospital.
d. upon admission to the hospital or nursing home.
ANS: D
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The nurse is called into a client's room by the unlicensed assistive personnel (UAP), who informs the nurse that the obstetric client has no pulse or respirations and has profuse vaginal bleeding. Which is the priority action by the nurse?
1. Apply gloves and assess the client for pulse and respirations. 2. Assess the client for pulse and respirations, instruct UAP to notify code team while donning personal protective equipment, and begin CPR. 3. Quickly assess pulse and respirations, next assess for bleeding, call for the code team, and then apply personal protective equipment before beginning CPR. 4. Apply gown, gloves, mask, and goggles, then assess client for pulse, respirations, and bleeding.
During which step of the nursing process is a nursing diagnosis for the patient developed?
A. Assessment B. Analysis C. Planning D. Intervention E. Evaluation
When discussing family planning methods, the nurse should plan to
a. choose the method, based on health assessment, that would best suit the client's health risks and needs b. help clients to have a thorough understanding of the method they choose c. include only the female in the discussion d. point out all methods that have the greatest effectiveness
A resident does not wear her lower denture for sleep. What should you do with the lower denture?
a. Store it in the denture cup filled with hot water. b. Store it in the denture cup filled with cool or warm water. c. Put it in the top drawer of her bedside stand. d. Wrap it in a napkin and set it on the over-bed table within her reach.