The nurse is reviewing the care of an 89-year-old client who has a stage I decubiti on the coccyx and right heel. The nurse provides instruction to the nurse aide assigned to care for the client
What would the nurse include in the instruction to the nurse aide?
A) keep the bed elevated 45? or higher
B) turn the client on the side to remove sheets and clothing
C) use dry dressings to the heels
D) use soap to cleanse the skin
B
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A patient with acute respiratory distress syndrome (ARDS) has been receiving ventilation in assist-control mode for the past 48 hours. The fraction of inspired oxygen (FiO2) is set to 70% and tidal volume is set to 15 mL/kg of body weight
What complication or complications should the nurse be most concerned about in this situation? Select all that apply. A) Barotrauma B) Oxygen toxicity C) Volutrauma D) Hypoxemia
An adult male patient is 1 day postoperative from a total hip replacement. The patient is rocking back and forth with a facial grimace. On a pain scale of 0 to 10, with 10 being the greatest pain, the patient reports a pain level of 10
Which medications would be most appropriate for the nurse to administer to this patient? a. 60 mg morphine sulfate PO b. 75 mg meperidine (Demerol) intramuscularly c. 6 mg morphine sulfate intravenously d. Duragesic (Fentanyl) patch 50 mcg transdermally
The clinic nurse recognizes that the longer an infant is formula fed, the greater the immunity and resistance the infant will develop against bacterial and viral infections
A) True B) False
Which one of the following does the nurse recognize as the primary purpose of a nursing diagnosis?
a. Support the medical plan of care. b. Provide a standardized approach for all clients. c. Recognize the client's response to an illness or situation. d. Offer the nurse's subjective view of the client's behaviours.