The nurse is instructing a client how to appropriately dress an infant in cold weather. Which of the following instructions would be most important for the nurse to include?
a. Be sure to put on mittens.
b. Layer the infant's clothing.
c. Place a cap on the head.
d. Put on warm booties.
C
All interventions are correct, but because of the many blood vessels close to the skin surface in the head, infants lose approximately one-third of their body heat through the head. Therefore, to prevent heat loss, it is most important to cover the head.
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Factors that are influencing the decrease in nursing home beds in the United States include: (Se-lect all that apply.)
a. an increase in the use of residential care facilities. b. a shortage of certified nursing assistants (CNAs). c. increased Medicaid reimbursement for community-based care alternatives. d. a shortage of Registered Nurses who are certified in gerontology. e. the high cost of care in a nursing home.
An older patient appears to have few friends and little family. What action by the nurse is best?
a. Encourage the patient to stay in contact with remaining family members. b. Help the patient find new social outlets and support systems. c. Assess the patient for depression or sub-stance abuse. d. Ask the patient why there are so few friends and family.
What risk factors may influence Mrs Simanski's response to hospitalisation and surgery?
Mrs Deidre Simanski is a 52-year-old woman who has consented for a laparoscopic hysterectomy and bilateral salpingo-oophorectomy for endometrial cancer. She presented at her GP with abnormal uterine bleeding and was subsequently referred to the gynaecological clinic for endometrial biopsy. She lives alone, works part-time in retail and has two grown children, both of whom live interstate with their families—she sees them every 3 months or so. Mrs Simanski smokes 35 cigarettes a day and has a BMI of 39. She also has type 2 diabetes and hypertension. What will be an ideal response?
The client receives topical vitamin A for the treatment of psoriasis. Which laboratory test will the nurse review when assessing for an adverse effect?
1. Serum calcium level 2. Hemoglobin level 3. Thyroid profile 4. Serum potassium level