The nurse assesses several risk factors for skin tears on the admission of a 90-year-old resident, which include: (Select all that apply.)
a. incontinence.
b. bruised areas.
c. obesity.
d. prolonged use of corticosteroids.
e. history of congestive heart disease.
B, D, E
The elderly have a high risk for the development of skin tears. Risk factors that will further in-crease the likelihood for developing tears include the presence of bruises, prolonged use of cor-ticosteroids, and systemic conditions such as a history of congestive heart failure. Incontinence and obesity are associated with the incidence of pressure ulcers.
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The nurse has completed an educational program for residents of a retirement community regarding unsafe medication practices. Which statement made by a resident best indicates effective teaching?
1. "Over-the-counter medications are good for up to two years." 2. "I will buy all of my medication from the same pharmacy." 3. "My roommate and I can share any medications that are the same, if needed." 4. "Medication can be obtained that is inexpensive from an internet pharmacy."
While sponging a client who has a high fever, the nurse observes the client shivering. Which is the nurse's priority action?
a. Administering oral acetaminophen b. Placing a heated blanket on the client c. Stopping sponging the client d. Warming up the water and continuing sponging
In the theory of nursing as caring, the universal human call is
A. Safety. B. Personhood. C. Pain management. D. All of the above
Which point on the Leadership Grid is proven to consistently be the best form of leadership?
a. Authority compliance b. Country club c. There is no best style d. Middle-of-the-road e. Team behaviors