The nurse is delegating A.M. care to unlicensed personnel. Appropriate instructions regarding skin care includes:(Select all that apply) Standard Text: Select all that apply
1. Dry each foot carefully
2. Wash under the breasts and allow to air dry
3. Retract the prepuce to expose the glans penis for cleaning
4. Wipe the perineum of males and females from front to back
5. Trim toenails
1,3,4
Rationale: The feet need to be dried carefully, to prevent growth of microorganisms
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Which of the following is the most beneficial aspect of electronic documentation systems?
1) Assist collaboration 2) Provide cautionary reminders 3) Improve legibility 4) Serve as a resource
A pregnant patient in her third trimester has been involved in a motor vehicle accident. Which intervention should the nurse implement to treat the patient's symptoms of hypotension?
1. Turn the patient to the right lateral position. 2. Turn the patient to the left lateral position. 3. Place the patient in Trendelenburg's position. 4. Place the patient in the supine position
To give eardrops to a 4-year-old, which of the following would be the best technique to use?
A) Pull the pinna of the ear downward. B) Lift the pinna of the ear down and back. C) Press the pinna of the ear forward. D) Pull the pinna of the ear up and back.
The nurse is assessing the client's self-care capabilities for after discharge from the hospital. Which barrier greatly contributes to the nursing goals being unmet? Select all that apply
A) the availability of assistive devices B) poor communication skills C) inadequate emotional coping skills D) debilitating illness E) family's lack of interest in the plan of care