Where should the nurse measure leg length?
A) From the posterior superior iliac spine to the medial tibialis
B) From the posterior superior iliac spine to the medial malleolus
C) From the anterior superior iliac spine to the medial tibialis
D) From the anterior superior iliac spine to the medial malleolus
D
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Each of the following is part of a program for addressing bowel incontinence in an older adult patient except which one?
a. Ensuring that a toilet or commode is readily accessible to the patient b. A diet containing 6 to 10 grams of fiber and 2 liters of water each day c. Expectations of a rapid and full recovery d. Exercises to strengthen abdominal and pelvic floor muscles
During lunch in the cafeteria, two nurses are overheard talking about their clients. One nurse states that her client actually has a warrant for his arrest waiting after he is discharged from the mental health facility. This an example of
1. assault. 2. oral defamation. 3. false imprisonment. 4. a breach of confidentiality.
In caring for a client in skeletal traction with a nursing diagnosis of Risk for Injury related to traction, the nurse should take special care to
a. carefully inspect pin sites every other day to assess for pin site infection. b. encourage the client to assume a position of comfort to reduce the risk of pressure ulcers. c. knot ropes between the client and pulley to prevent weights from touching the floor. d. position weight ropes to ensure that the weights hang freely from pulleys.
The nurse is discussing risk factors for hypertension with family members attending a self-help group meeting for clients in cardiac rehabilitation
Which of the following statements made by the nurse are relevant to this discussion on preven-tion of this disorder? (Select all that apply.) 1. "Low fat foods are your blood pressure's best friend." 2. "Have your triglyceride's checked on a regular basis." 3. "Ideal weight is ideal for keeping blood pressure under control." 4. "Nicotine is a no-no when attempting to control blood pressure." 5. "If they are prescribed, take your blood pressure medicine as suggested." 6. "Keep alcohol consumption down and your blood pressure will be down."