The patient requires a support surface to help prevent pressure ulcers. He has a large open wound on his leg that is dressed daily. The nurse must choose which support surface would be most appropriate
What does the nurse realize when comparing the different types of support surfaces? a. Water mattresses are better for patients with open wounds.
b. Air surface beds cannot be used if the patient needs CPR.
c. Water mattresses make it hard to regulate patient body temperature.
d. Air mattresses reduce shear and friction.
D
Water mattresses are no longer used regularly because they harbor organisms in the water; leaks in the mattress are risky for patients with open wounds; and the structural integrity of the building does not always support the weight of the mattress. Air mattress reduce shear and friction and so are a good choice for this patient. Air surface beds are equipped with a cardiopulmonary resuscitation (CPR) switch to instantly lower the head section from an elevated position and to deflate the mattress to provide a firm surface for chest compressions. Follow the manufacturer's directions regarding the temperature of the water. Proper water temperature prevents loss of body heat as the patient lies on the mattress.
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The nurse is interviewing a client and notes that the left eyelid is drooping. Which term will the nurse use when documenting this finding in the medical record?
1. Ptosis. 2. Nystagmus. 3. Strabismus. 4. Myopia.
__________________is an unconscious "burying" or "forgetting" mechanism
ANS:
Of the following, the biggest disadvantage of having nursing assistive personnel (NAP) help nurses is that the nurse:
1) Must know what aspects of care can legally and safely be delegated to the NAP. 2) May rely too heavily on information gathered by the NAP when making patient-care decisions. 3) Is removed from many components of direct patient care that have been delegated to the NAP. 4) Still maintains responsibility for the patient care given by the NAP.
A hospital utilizes the functional nursing care delivery system, and patient satisfaction scores have been falling in each quarter of the past year
What is a likely reason for this decrease? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Utilization of advanced practice nurses on the unit 2. Efficient nursing staff 3. Lack of confidence in the caregivers 4. Lower health care costs 5. Fragmentation of the nursing care