What preventative action can be taken to prevent skin trauma from shearing force?
a. Slide the patient across the bed linens to change position.
b. Apply generous amounts of lotion to the patient's skin.
c. Lift the patient on draw sheets when pulling up in bed.
d. Give the patient frequent tub baths to soften the skin.
ANS: C
Lifting patients up clear of the bed linens to move or change position will reduce the risk of shear force injury.
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The physician has ordered phenobarbital (Luminal) 100 mg three times a day for a patient with seizures. To help the nurse develop an appropriate care plan for this patient, which best describes the action of this drug in the body?
a. It will increase urination for 2 hours after ingestion. b. It will cause severe thirst and dryness of the mucous membranes. c. It has a long duration and a sedative effect on the brain. d. It will lower the seizure threshold.
A patient who had a transverse colectomy for diverticulosis 18 hours ago has nasogastric suction and is complaining of anxiety and incisional pain
The patient's respiratory rate is 32 breaths/minute and the arterial blood gases (ABGs) indicate respiratory alkalosis. Which action should the nurse take first? a. Discontinue the nasogastric suction. b. Give the patient the PRN IV morphine sulfate 4 mg. c. Notify the health care provider about the ABG results. d. Teach the patient how to take slow, deep breaths when anxious.
In utero, what is the organ responsible for gas exchange?
1. Umbilical vein 2. Placenta 3. Inferior vena cava 4. Right atrium
During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which approach should the nurse take?
A) "Tell me what makes you think you are gay." B) "This puts you in an at-risk category." C) "We need to talk about safe sex." D) "You're not gay; you're confused."