The nurse documents in the client plan of care that the wound treatment to the client's left foot has resulted in wound healing. She removed the Skin Integrity diagnosis from the plan of care. The nurse is using which aspect of the Nursing Process?
a. Assessment
b. Evaluation
c. Planning outcomes
d. Planning interventions
ANS: B
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The nurse discussing foot care with an elderly patient with diabetes realizes that the information she is teaching is extremely important because:
A) An elderly patient with foot ulcers experiences severe foot pain due to diabetic polyneuropathy. B) Avoiding the complications associated with foot ulcers may mean the difference between institutionalization and continued independent living. C) Hypoglycemia is a dangerous situation and it may lead to unsteadiness of the feet and falls. D) Drugs that the patients are required to take for their diabetes often decrease circulation to the lower extremities.
Why should a woman planning to deliver at home do prenatal perineal exercises?
A) Labor will be less painful. B) The episiotomy will require fewer stitches. C) The perineal muscles will retract more readily. D) The likelihood of perineal tearing will be less.
Which is the most important self-protective method for health care personnel against a client on contact precautions?
1. Double gloving 2. Water-resistant gown 3. Cohorting same infection 4. Washing hands thoroughly
Which of the following statements is NOT a guideline for protecting the back when lifting? a. Bend the knees. b. Take a wide stance with feet slightly apart. c. Keep the work at a distance to avoid soiling yourclothing
d. Face the direction of movement.