The nurse is determining a client's risk for injury. What should the nurse assess in this client?
1. Age
2. Mobility
3. Hearing
4. Vision
5. Dietary intake
Correct Answer: 1, 2, 3, 4
Rationale: The ability of a person to protect him- or herself from injury is dependent upon age.
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The nurse who incorporates the HOPE framework assesses a Native-American patient for which of the following? (Select all that apply.)
a. Desire for shaman to be present b. Personal use of herbs and prayers c. Desire to create a living will d. Power of storytelling for healing e. Involvement in church activities
An older adult who is on bed rest after surgery is prescribed morphine for pain. Which of the following is the nurse's priority for preventive care?
a. Constipation c. Poor solid food in-take b. Diarrhea d. Poor liquid intake
Rh incompatibility can occur if the woman is Rh negative and her:
a. fetus is Rh positive. b. husband is Rh positive. c. fetus is Rh negative. d. husband and fetus are both Rh negative.
Which of the following are examples of nonselective mechanical débridement methods? Choose all that apply
1) Wet-to-dry dressings 2) Sharp débridement 3) Whirlpool 4) Pulsed lavage