A nurse in a long-term care facility is caring for a client with long hair. Which procedure
should the nurse follow when providing hair care to the client?
A) Fasten the hair with a latex rubber band
B) Use hairpins to keep hair in place
C) Wash client's comb and brush regularly
D) Avoid tying long hair in braids
C
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Your patient is undergoing peritoneal dialysis. After several fluid exchanges, you notice that the patient's abdomen is distended and blood pressure is elevated. So far, 6500 cc have been infused and 5500 cc have been drained
Which of the following actions would be most appropriate? A) Obtain an order for antibiotics B) Turn the patient from side to side C) Lower the head of the bed D) Insert a nasogastric tube
The patient has been diagnosed with a progressive neuromuscular disease and is having difficulty walking and has decreased awareness of the body's position. What is the term that best describes this phenomenon?
a. Balance b. Proprioception c. Posture d. Hemiplegia
What can a nurse do to prevent an IV infiltration?
What will be an ideal response?
A critical point in performing ET tube care is:
A. Leaving sufficient slack in the tape B. Holding the tube firmly in place at all times C. Suctioning the client after care is provided D. Removing the oral airway if the client is biting on the ET tube