The nurse is caring for a client who is a in traction due to a motor vehicle accident. The nurse anticipates which of the following effects of immobility?(Select all that apply) Standard Text: Select all that apply
1. Osteoporosis
2. Venous vasoconstriction
3. Urinary stasis
4. Diarrhea
5. Decreased respiratory movement
1,3,5
Rationale: Without the stress of weight-bearing activity, bones demineralize
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The nurse knows that which of the following statements is true regarding the importance of hygiene?
a. The nurse has the opportunity to assess the respiratory, gastrointestinal, and genitourinary systems during the bath. b. UAPs perform hygiene because there is no benefit of nurses doing it. c. The mucous membranes of the lips, nostrils, anus, vagina, and urethra are not a part of the integumentary system when providing hygiene. d. The main purpose of bathing is to decrease odor.
An 89-year-old man, who was recently discharged from a rehabilitation hospital because of an inability to concentrate and frequent memory lapses, cannot be left alone while his family works
What options should the discharge planning team suggest that will satisfy safety concerns and give the greatest quality of life to the patient? a. Placement in a day care center from 8 AM to 5 PM daily b. Placement in a long-term psychiatric fa-cility c. Placement in a high-security nursing home d. Admission to a general hospital for evalu-ation
The nurse is caring for a client who has undergone removal of a benign colonic polyp. The client asks the nurse why a follow-up colonoscopy is necessary. Which is the nurse's best response?
a. "You are at risk for developing more po-lyps in the future." b. "You may have other cancerous lesions that could not be seen right now." c. "The doctor can remove only a few of the polyps during each colonoscopy." d. "This test will ensure that you have healed where the polyp was removed."
Which of the following is an example of the body's defense against infection?
A) Racial characteristics B) Body shape and size C) Immune response D) Level of susceptibility