The nurse is caring for a patient with a nursing diagnosis of impaired skin integrity related to a stage III decubitus ulcer. What would be the most important outcome for this patient?
A) The patient exhibits no signs or symptoms of infection
B) The patient changes position every 2 hours
C) The patient keeps the area clean and dry
D) The patient knows prevention measures for decubitus
A
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Fran delivered a 9 lb, 10 oz baby 1 hour ago. When you arrive to perform her 15-minute assessment, she tells you that she "feels all wet underneath"
You discover that both pads are completely saturated and that she is lying in a 6-inch diameter puddle of blood. What is your first action? a. Call for help. b. Assess the fundus for firmness. c. Take her blood pressure. d. Check the perineum for lacerations.
Prior to terminating the interview with a client, the nurse should ask:
1. "Do you have any concerns or questions?" 2. "Do you have any valuables to declare?" 3. "How is your insurance coverage for this admission?" 4. "You are frightened about dying, aren't you?"
To prevent the complication of atelectasis in an 82-year-old woman with a hip fracture, the nurse would
a. ambulate the client frequently. b. frequently reposition the client. c. suction the upper airway. d. supply oxygen.
A recruiter is explaining benefits to a group of nursing externs who are highly sought for employment. The recruiter states, "We are the only hospital in town that offers a residency program." The recruiter further explains that a residency program:
a. provides housing for the graduate nurse to decrease expenses until income is established. b. partners a medical resident with a nurse resident to learn interprofessional care. c. allows new graduates to work on a higher degree in nursing while being paid full-time. d. offers extended time for both theory and clinical activities that promote problem-solving and clinical decision-making.