The nurse, planning care for several clients, would identify which client has the greatest risk for developing a pressure ulcer?
a. A 45-year-old client admitted for spinal surgery
b. A 65-year-old client who resides in a nursing home due to chronic confusion, but is ambulatory
c. An 80-year-old client with a fractured hip who cannot turn self in bed
d. A 65-year-old client admitted to the hospital for observation due to a head injury
ANS: C
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Prepare 1 L of 2.5% boric acid solution from boric acid crystals. The amount of boric acid crystals that will be used is ______________
a. 40 g b. 1 g c. 25 g d. 100 g
The mother of a young adult client who has schizophrenia tearfully asks the nurse what she could
have done differently to prevent her child's illness. The most reassuring response for the nurse would be a. "Although schizophrenia is caused by impaired interpersonal relationships between parents and the child, try not to feel guilty. No one can predict how a child will respond to parental guidance.". b. "Most of the damage is done, but there is still hope. By changing your parenting style, you can help your child learn to cope more effectively with the environment.". c. "Schizophrenia is a biological illness not unlike diabetes and heart disease. You are not to blame for your child's illness.". d. "Most mental illnesses result from genetic inheritance. Your genes are more at fault than your parenting.".
During the physical examination of the mouth, the nurse identifies vesicular eruptions along the patient's lips and surrounding skin. The nurse would document this finding as being:
A) Angular cheilitis B) Herpes simplex C) Actinic cheilitis D) Angioedema
A 65-year-old man is seen in the outpatient clinic for treatment of psoriasis. The nurse educates the patient to the possibility of developing
a. alopecia. b. orange-tinged urine. c. yellow-brown nails. d. cherry angiomas.