A patient with sepsis is receiving care in the intensive care unit and is receiving mechanical ventilation
The patient's acuity, decreased level of consciousness and ventilation preclude most forms of mobility and the nurse has identified a consequent risk of venous thromboembolism. What nursing intervention should the nurse specify in the patient's care plan to reduce this risk?
A) Position the patient in the Trendelenburg position every 4 to 6 hours.
B) Perform vigorous massage of patient's exposed skin surfaces each shift.
C) Apply antiembolic stockings to the patient's legs.
D) Administer subcutaneous vitamin K as ordered.
C
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The nurse instructs an anxious mother of a child with Rocky Mountain spotted fever that the disease is:
a. extremely contagious among humans. b. contracted from handling unvaccinated animals. c. a hemolytic B Streptococcus infection spread by droplet transmission. d. a serious disease contracted from the bite of a tick.
The tubing of the large-volume nebulizer for the client receiving humidified oxygen therapy is filled with water. What is your best action?
A. Disconnect the tubing and drain the water from the tubing into a waste container. B. Turn off the nebulizer, empty the water from the nebulizer reservoir, and replace it with sterile saline. C. No action is needed because the water in the tubing is providing humidification to the oxygen delivered to the client. D. Move the tubing, placing it above the level of the nebulizer reservoir, so that wa-ter from the tubing flows into the nebulizer.
Which statement from the parents of an 11-year-old child supports the need for parent education on the topic of physical discipline?
A) "Authority figures, such as parents, should be trusted and respected, not feared." B) "Hitting increases the probability that you are more likely to use aggression to handle conflicts." C) "Spanking is an effective method to let a child know that inappropriate behavior is not tolerated and that it has consequences." D) "Corporal punishment gives the message that violence is acceptable."
Some mothers and newborns need home care after discharge from the hospital. Which is a reason for home care?
a. Complications in the mother before or af-ter childbirth. b. A normal vaginal delivery. c. Babies depend on others for their basic needs. d. The mother needs sleep.