An 80-year-old client is recovering in the ICU from septicemia. Which of the following interventions planned by the nurse will help prevent further infection of this client? (Select all that apply.)
1. Turn, cough, and deep breathe q shift
2. Sterile wound care
3. Oral care
4. Skin care
5. Foley drainage on the bed at the client's feet
3. Oral care
4. Skin care
Rationale:
Good oral and skin care will prevent breakdown and prevent entry by bacteria. In order to prevent skin breakdown and promote respiratory function, the client is turned at least every 2 hours. There is no evidence that this client has a wound. The Foley drainage bag is always kept below the level of the client's bladder to prevent reflux.
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During a therapy session, a patient cries as the nurse explores the relationship of the patient and her now-deceased mother. The patient sobs, "I shouldn't be blubbering like this." A response by the nurse that will hinder communication is:
a. "The relationship with your mother is very painful for you." b. "I can see that you feel sad about this situation." c. "Why do you think you are so upset?" d. "Crying is a way of expressing the hurt you're experiencing."
The leading cause of injury and death during pregnancy is
1. trauma. 2. accidents. 3. hypertension. 4. drug and alcohol use.
The reliability coefficient of a new instrument is established at 0.86. The nurse researcher should interpret this finding to mean what?
a. High error variance; high reliability b. High error variance; low reliability c. Low error variance; high reliability d. Low error variance; low reliability
After many years of intravenous heroin use, Scott has been admitted to an inpatient treatment facility. An application of Leininger's theory of nursing would emphasize which of the following aspects of Scott's life?
A) His physiological state B) His culture C) His coping skills D) His awareness of needs