The nurse is assessing a client's risk for formation of pressure ulcers. One of the most important risk factors is:
1. Repeated injections in the same area
2. Incorrect application of pressure-relieving devices
3. Poor lifting techniques
4. Immobility
4
Rationale: Repeated injections in the same area contribute to tissue ischemia and the formation of pressure ulcers, but are not one of the most important risk factors
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What is the most effective way to evaluate the patient's pain response after administering an opioid analgesic?
A) Observe the patient when he/she is not aware you are assessing him/her. B) Ask another nurse to assess the patient's response to the medication. C) Using a pain scale, ask the patient to describe the pain. D) Ask the family to determine the patient's response to the pain.
The nursing unit has experienced high stress and a higher than normal turnover rate. The manager asks a longtime member of the nursing staff to analyze the manager's job performance. What is most likely the reason for this request?
1. The manager is questioning his or her leadership style and its effectiveness. 2. The manager is required to ask for input on his or her personal job evaluation. 3. The manager is attempting to show concern about unit conditions. 4. The manger is inquiring about other leadership styles the nurse has encountered.
A nurse is evaluating the epidural catheter insertion site and suspects that the intraspinal catheter has punctured the dura when _____ noted
a. clear drainage is b. bloody drainage is c. purulent drainage is d. redness, warmth, and swelling are
The patient has Levaquin 500 mg ordered once daily. The Levaquin is available in 100 mL of NS and should infuse over 1 hour. Using tubing with a 20 gtt/mL drop factor, how many drops per minute should the Levaquin be infused? ___________
Fill in the blank(s) with correct word