The nurse is aware that positioning and range-of-motion (ROM) exercises most help the immobilized patient to prevent:
a. increased pain.
b. contractures.
c. pressure ulcers.
d. compromised circulation.
B
Although positioning may help decrease pain and increase circulation, anatomical alignment and ROM exercises are most helpful in preventing contractures in the immobilized patient. Pressure ulcers are prevented by frequent position changes.
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A nurse is performing an admission assessment of a newly admitted hospital client and has documented the client as being a member of the Native American subculture. A subculture is best described as which of the following?
A) A cultural group that has less than 5 million members in the United States B) A unique cultural group with unspecified geographic origins C) A cultural group with values that are incongruent with those of the dominant culture D) A unique cultural group that exists within the larger culture
A nurse suspects that a client receiving naloxone is experiencing an adverse reaction when the assessment reveals which of the following?
A) Bradycardia B) Dry, flushed skin C) Tremors D) Diarrhea
A laboratory test for glycosylated hemoglobin Alc:
1. is now done for all pregnant women, not just those with or likely to have diabetes. 2. is a snapshot of glucose control at the moment. 3. with a 2.5% to 5.9% result is considered evidence of good diabetes control. 4. is done on the patient's urine, not her blood.
The nurse is providing care to an adolescent patient who is experiencing pain. Which is a behavioral change that often occurs when an adolescent is experiencing pain? Select all that apply
1) Crying 2) Clenched fists 3) White knuckles 4) Verbalization of pain 5) Muscle tension