The nurse working with older patients would assess which patient as being at highest risk for developing secondary hypothermia?
a. The patient who has osteoarthritis and li-mited mobility
b. The patient who has a raised rash on both arms
c. The patient who drinks four alcoholic drinks a day
d. The patient who takes furosemide (Lasix)
C
Alcohol and substance abuse increase the risk of hypothermia because of decreased awareness and impaired judgment. Four drinks a day is excessive. Skin conditions can lead to hypothermia, but the rash is confined to the arms. The other two conditions are not risk factors.
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The student nurse is assessing a patient's pulses. What action by the student requires the nurse to intervene?
a. Assessing apical pulse between the fifth and sixth intercostal spaces b. Assessing the doralis pedis pulse by palpating behind the patient's knee c. Assessing the radial pulse on the patient's wrist d. Assessing the brachial pulse on the patient's inner elbow
A client visits a health care facility with complaints of early awakening after sleep, which leaves him tired and weak. For which of the following lifestyle practices should the nurse assess the client in this case?
A) Alcohol consumption B) Regular exercise C) Environmental stimulus D) Recreational activities
When reading about nursing as a career, a student is interested in learning about violence in the profession. Which statement accurately reflects violence in health care and the profession of nursing?
a. Nursing is the most trusted profession and therefore violence is rare. b. Health care workers have the highest rates of nonfatal assault injuries in the workplace. c. Physical violence between peers constitutes lateral violence; however, verbal assault is not recognized as violence. d. Professional organizations have recognized a need to evaluate all nurses for the risk of committing acts of violence.
A child, age 5, was admitted to the children's unit, having been sexually abused by an acquaint-ance of her family
The child refuses to talk and participate in unit activities, choosing to stay in her room with her stuffed animals. Which therapeutic intervention will best help the child release pent-up feelings about the abuse? 1. Individual communication with the nurse 2. Play therapy 3. Family therapy 4. Role-play with other children on the unit