A nurse is assigned to assist a client with a warm foot soak. The nurse should ensure that the water temperature does not exceed what temperature for the foot soak?
A) 39.5ºC
B) 40ºC
C) 40.5ºC
D) 41ºC
C
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The water temperature for a small area must not exceed 40.5ºC.
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A nurse is assessing a client with severe pain in his lower back. The client's breathing becomes shallow when he is in pain. Which of the following autonomic nervous system responses should the nurse look for in the client?
A) Headache B) Lethargy C) Dilated pupils D) Irritation
A key finding from the Human Genome Project is:
a. Approximately 30,000 to 40,000 genes make up the genome. b. All human beings are 80.99% identical at the DNA level. c. Human genes produce only one protein per gene; other mammals produce three proteins per gene. d. Single gene testing will become a standardized test for all pregnant patients in the future.
The home-care nurse determines that their patient is at risk for further injury due to normal aging sensation loss when they state the following:
1. "I have this large red mark on my arm and I think it occurred yesterday from cooking." 2. "I can't remember what I ate for lunch yesterday." 3. "I got a small cut on my arm from a zipper when I was getting dressed yesterday." 4. "I have some discolorations on my arm, but they have been there for months."
Which is an effective strategy to reduce the stress of burn dressing procedures?
a. Give child as many choices as possible. b. Reassure child that dressing changes are not painful. c. Explain to child why analgesics cannot be used. d. Encourage child to master stress with controlled passivity.