The nurse is reviewing a care plan for the client at risk for pressure ulcers. Appropriate interventions include:(Select all that apply) Standard Text: Select all that apply
1. Providing a high carbohydrate, low protein diet
2. Scrubbing the skin with minimal force and friction
3. Position the head of the bed no more than 45 degrees
4. Use a trapeze when lifting a client to change position
5. Change wound dressings three to four times a ay
2,4
Rationale: Appropriate nutritional support includes adequate calories, protein and iron intake
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The nurse is caring for a patient with cardiovascular disease who has a nursing diagnosis of anxiety related to perceived threat of death
Stress reduction methods and providing information about the illness, its treatment, and prevention of its progression have been implemented by the nurse. The nurse evaluates her goal in reducing anxiety and determines that the goal has been met when the patient states: A) "I know you are doing everything possible to save my life and help me." B) "When can I resume all my normal activities again?" C) "I am going to take my recovery one day at a time." D) "I feel fine now and I am ready to go on with my previous life activities."
The 70-year-old woman who had a stroke 3 months ago has a body image disturbance related to her spastic right arm and contracted fingers of the right hand. How can the nurse assist the patient in improving her body image?
a. Teach her to write with her left hand. b. Place articles within easy reach of her left hand. c. Help her select colorful scarves or accessories to cover her right arm. d. Show her massage techniques to increase circulation in her right arm.
Manufacturers have the option to include the lot number on drug labels
Indicate whether the statement is true or false
Mental health problems are manifested in many ways. Untoward incidents or even anticipated life events can diminish physical, cognitive, affective, and social functioning. Given adequate support and adaptation
1. Most people never recover from crises and become mentally ill. 2. Nurses can prevent losses and mental illness. 3. Grief can be ignored. 4. Most people resume their lifestyles following losses in spite of sadness.