A wheelchair-dependent older woman would most likely develop skin breakdown at:
a. C7.
b. the iliac crests.
c. L4.
d. the gibbus.
D
This older woman, most likely kyphotic from osteoporosis, would have the greatest friction point at the gibbus. The gibbus results from collapsed vertebrae, resulting in a sharp, pointy deformity of the back. C7 and L4 remain as concave curves, with less friction. The iliac crests would not protrude as far as the gibbus.
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The nurse is caring for a patient with mitral regurgitation. Referring to the figure below, where should the nurse listen to best hear any murmur that the patient has?
a. 1 b. 2 c. 3 d. 4
The parent of a child with attention-deficit/hyperactivity disorder (ADHD) asks a nurse why the child has lost 10 pounds in the past 2 months. Which is the most appropriate nursing response?
A) "Medications used to treat people with ADHD often cause decreased appetite." B) "Hyperactivity causes excess physical activity and increased caloric expenditure." C) "Side effects of the medications used to treat people with ADHD include nausea and vomiting." D) "Loss of appetite is a symptom of ADHD."
A client has been prescribed timolol (Timoptic). When does the maximum therapeutic effect occur for the medication?
1. It takes 6–8 weeks. 2. It begins immediately. 3. It takes 2–4 weeks. 4. It takes 1–2 weeks.
The nurse is instructing a female client on what should be done if a lump is discovered while performing breast self-examination (BSE). What should the nurse instruct the client to do?
1. Call her physician and immediately schedule an appointment. 2. Call to schedule an appointment next month. 3. Take the antibiotics she has in her medicine cabinet. 4. Wait until next month's BSE to make sure the lump is still there.