A nurse is caring for a client who has had nasal surgery. What measure should be
employed when caring for this client?
A) Remove the gauze from the nostrils 2 hours after the surgery
B) Instruct the client to avoid breathing through the mouth
C) Examine the back of the throat to check for drainage of blood
D) Assist the client to a supine position to facilitate breathing
C
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The daughter of an older patient who is a resident of a nursing home suspects the patient is a victim of abuse. What should the nurse suggest that the daughter do about this situation? Select all that apply.
1. Visit the facility at varied times. 2. Do nothing until evidence is obtained. 3. Realize that the patient can be confused. 4. Participate in the resident's council. 5. Actively participate in care plan meetings.
To reassure and educate patients concerning the function of their kidneys in eliminating waste products, maternity nurses should be aware that
1. increased urinary output makes pregnant women less susceptible to urinary infec-tion. 2. increased sensitivity and then compression of the bladder by the enlarging uterus results in the urge to urinate even if the bladder is almost empty. 3. renal (kidney) function is more efficient when the woman assumes a supine posi-tion. 4. using diuretics during pregnancy can help keep the kidney function regular.
The nurse is examing a pregnant woman in the third trimester. What skin changes should the nurse highlight as an alteration for the woman's healthcare provider?
1. Linea nigra 2. Melasma 3. Petechiae 4. Spider nevi
While working with a certified nursing assistant (CNA) in a local nursing home, the nurse knows that which of the following fall risk and prevention measures may be delegated to the CNA? Select all that apply
a. Remove clutter and spills in patient rooms. b. Place nonskid slippers on all patients. c. Answer call lights in a timely manner. d. Assess each patient for fall risk.