The nurse is providing care to a patient who is at high risk for pressure ulcer development. For which of the following body areas should the nurse provide extra attention and care?
a. the head c. the elbows
b. the ears d. the heels
D
The incidence of heel ulcers has increased significantly in all care settings. The heels are a high-risk area because they have very little soft tissue to provide pressure distribution.
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A child has recently been diagnosed with leukemia. The child's sibling is expressing feelings of anger and guilt. This reaction by the sibling is:
1. Abnormal; the sibling should be referred to a psychologist. 2. Unexpected; the cancer is easily treated. 3. Unusual; the illness doesn't affect the sibling. 4. Normal; the sibling is affected, too, and anger and guilt are expected feelings.
A client who recently learned of being pregnant tells the nurse that she stopped eating meat years ago and started eating fish daily because it is healthier. Which teaching points are appropriate for this client based on her current diet?
Select all that apply. A) Avoid shrimp, salmon, and catfish because these have higher mercury levels. B) Eat up to 12 ounces a week of a variety of fish and shellfish. C) Avoid albacore tuna because it has more mercury than other canned tuna. D) Eat plenty of fish such as swordfish and shark while pregnant. E) Follow a complete vegetarian diet while pregnant as an alternative to eating fish.
The nurse has planned to confront the client about illicit drug use that occurred when the client was given a pass to leave the hospital the previous day
As the nurse enters, the client is sobbing and the nurse learns that the client's mother has been hospitalized with a stroke. Which factor will have the greatest influence on modifying the planned interaction? 1. Environmental factors 2. Knowledge 3. Relationship 4. Attitude
Following cerebral angiography, a patient is found to have carotid artery dissection. What critical complication associated with this injury should the nurse be most concerned about because it could lead to stroke?
A) Concussion B) Hemorrhage C) Diffuse axonal injury D) Coma