The nurse avoids dragging the patient across the bed linen to decrease the potential risk of skin injury by _________
Fill in the blank(s) with correct word
friction
Dragging the patient across bed linen rather than lifting can cause skin damage from friction.
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The nurse is caring for a client who had an esophagectomy 3 days ago and was extubated yesterday. What actions may the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
a. Assisting with position changes and getting out of bed b. Keeping the head of the bed elevated to at least 30 degrees c. Reminding the client to use the spirometer every 4 hours d. Taking and recording vital signs per hospital protocol e. Titrating oxygen based on the client's oxygen saturations
A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity
Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). Membranes are intact. The nurse should expect the client to be: a. discharged home with a sedative. b. admitted for extended observation. c. admitted and prepared for a cesarean birth. d. discharged home to await the onset of true labor.
The nurse notes that a 41-year-old patient's fasting blood glucose level is 125 mg/dL. What should the nurse suspect is occurring with the patient?
1. severe hyperglycemia 2. consistent with diabetes 3. normal results 4. consistent with prediabetes
Which finding by the nurse assessing a potential organ donor would indicate that the patient did not meet the criteria for donation based on brain death?
1. Apnea 2. Decorticate posturing 3. Unresponsiveness 4. Absence of brainstem reflexes