A home care nurse has just completed a dressing change on her patient. Which statement best describes the termination phase?
A) "You need to eat more protein to assist you with wound healing."
B) "On a scale of 0 to 10 with 0 being no pain and 10 being the worst, where would you rate your pain?"
C) "Your wound is healing nicely. It is draining less and it is smaller by a half centimeter."
D) "Have you had any problems since our last visit? Is your wife doing well with your dressing changes?"
Ans: C
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An elderly woman in the ICU has an indwelling urinary catheter and is being treated for a myocardial infarction. She is diabetic but is in the habit of having several glasses of orange juice each day
Her lab test results show that her urinary pH is 7.6 . The nurse should suspect which of the following factors as the cause of the elevated pH level? A) A urinary tract infection B) Ketoacidosis caused by untreated diabetes C) Consumption of acidic foods D) Dehydration
A physician has encouraged an obese client to join an aerobic exercise class to promote cardiorespiratory conditioning, reduce fat, and increase lean muscle mass. Which of the following fitness exercises is most suitable for the client?
A) Passive ROM exercises B) Isometric exercise C) Isotonic exercise D) Submaximal exercise
The majority of older persons live alone
Indicate whether the statement is true or false
The nurse is assessing a newborn immediately after birth. After assigning the first Apgar score of 9, the nurse notes two vessels in its umbilical cord. What is the nurse's next action?
a. Assess for other abnormalities of the infant. b. Note the assessment finding in the infant's chart. c. Notify the health care provider of the assessment finding. d. Call for the neonatal resuscitation team to attend the infant immediately.