A nurse working in long-term care is assessing residents at risk for the development of a decubitus ulcer. Which one would be most at risk?
A) an 83-year-old who is mobile C) a 75-year-old who uses a cane
B) a 92-year-old who uses a walker D) an 86-year-old who is bedfast
D
You might also like to view...
The nurse who is not assigned to care for the patient can access the patient's electronic health record in which circumstance?
a. The patient is the nurse's son in the emergency department and has pending lab results. b. The nurse had previously provided care to the patient during past hospitalizations. c. The nurse is reporting lab results to the Code Blue team during resuscitation. d. The patient is the nurse's neighbor who asks the nurse to review the chart.
A nurse observes a 3-year-old client willingly sharing candy with a sibling. According to Peplau, which psychological stage of development should the nurse recognize that this child has completed?
A. "Learning to count on others" B. "Learning to delay satisfaction" C. "Identifying oneself" D. "Developing skills in participation"
A patient has been taking high doses of clorazepate (Tranxene) for several months for an anxiety disorder. The nurse assessing the patient observes that the patient is agitated, euphoric, and anxious. What will the nurse do?
a. Double-check the chart to make sure the last dose was given. b. Request an order for a longer acting benzodiazepine. c. Suspect a possible paradoxical reaction to the clorazepate. d. Withhold the next dose until a drug level can be drawn.
During the attempted resuscitation of a man in V-Fib cardiac arrest, your protocols call for the administration of 1.5 mg/kg of lidocaine. You have prefilled syringes of lidocaine in a concentration of 100 mg/5 mL. The patient weighs 180 lb. How many milliliters will you administer?
A. 6.5 B. 6.2 C. 6.8 D. 5.5