When getting a client up in a chair, the nurse notices that the pressure-relieving mattress overlay has deep imprints of the client's buttocks, heels, and scapulae. What is the nurse's best action?
A. Turn the mattress overlay to the opposite side.
B. No action is needed because this is the mechanism of action for the overlay.
C. Apply a different pressure-relieving device and assess its effectiveness for this client.
D. Reinforce the overlay by placing cushions between the mattress and the overlay where the imprints are located.
C
"Bottoming out," as evidenced by the deep imprints in the mattress overlay, indicates that this device is not appropriate for this client and a different device or strategy should be implemented to prevent pressure ulcer formation.
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A team of community health nurses are planning to draft a proposal for a program that will increase the community's alignment with the principles contained in the Healthy People 2020 report
Which of the following activities would best demonstrate the priorities identified in this report? A) Addressing determinants of health such as clean environments and safety in the community B) Lobbying for increased funding to the county hospital where many residents receive primary care C) Collaborating with health professionals in neighboring communities to pool resources and increase efficiencies D) Creating clinical placements where nursing students and members of other health disciplines can gain experience in a community setting
A nurse is working with a child who has a chronic skin disorder consisting of many vesicles and pustules. Which nursing assessment indicates that a priority long-term goal has been met?
A. Child states that he no longer gets teased at school because of his appearance. B. Parents and child verbalize acceptance of disease process and need for medication. C. Patient participates in sporting events and other after school-activities regularly. D. Skin around primary lesions remains free of redness, warmth, swelling, and pain.
A child has arrived to the emergency room after a motor vehicle accident. The nurse is assessing for any renal injuries. Identify the signs that would indicate such an injury
1. Seizures and hematuria 2. Proteinuria and bladder spasms 3. Dysuria, proteinuria, and nausea 4. Nausea, vomiting, and dysuria
In the United States, most citizens have access to clean water and sanitation services and often take these services for granted. Worldwide, however, clean water and sanitation are not standard
What percentage of the global population lacks access to improved water sources? A) 7 B) 17 C) 27 D) 37