A 40-year-old male client with multiple injuries on his hands and legs is brought to the
primary healthcare facility. The nurse should first assist the client in fulfilling what basic
need?
A) Assist him to take food and water
B) Assist him to bathe and dress independently
C) Assist him to move independently
D) Help him to communicate with family members
A
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The nurse observes a thick, tannish-brown covering over a large wound and needs to stage the wound. What action by the nurse is most appropriate?
a. Removing this covering with a sterile forceps and scissors b. Filling the base of the patient's ulcer with a silicone lotion c. Placing a hydrocolloid dressing directly over the tannish-brown covering d. Deferring staging until the tannish-brown covering has been removed
When counseling a client about food preparation, which of the following food-preparation practices would the nurse identify as least likely to destroy the vitamin C content of food?
1. Adding baking soda to peas to maintain their bright green color 2. Boiling water for 1 minute before adding vegetables 3. Cooking a citrus fruit compote 4. Storing orange juice in a plastic container
A nurse is the subject of a lawsuit and attempts to demonstrate that her behavior was appropriate. To demonstrate this most effectively, the nurse should do which of the following?
a. Call an expert witness to testify that the behavior was prudent and reasonable for a nurse in such a situation. b. Hire an attorney who will argue that the physician was responsible for the nurse's behavior. c. Describe how the textbooks used while the nurse was enrolled in nursing education endorsed the action that the nurse performed. d. Explain that the client asked the nurse to engage in that behavior, and the client has the authority to decide on personal care.
During the use of moist and dry applications, the patient's skin should be checked often for color
True False