The nurse is performing hygienic care for a comatose patient. Which action is not correct?
a. Clean the eyes by washing from the inner canthus to the outer canthus.
b. Turn the head to the side when flossing and brushing the teeth.
c. Following mouth care, immediately turn the patient to a prone position.
d. Keep the patient's mouth open with a padded tongue blade.
C
After the nurse provides mouth care, the comatose patient should be kept in the lateral position with the head turned toward the side for 30 to 60 minutes. This posture prevents the pooling of secretions and aspiration. Each of the other actions would be appropriate when caring for a comatose patient.
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The nurse is assessing the reproductive history of a 68-year-old postmenopausal woman. Which finding is cause for immediate action by the nurse?
a. Vaginal dryness b. Need for a Papanicolaou test if none for 3 years c. Bleeding from the vagina d. Leakage of urine
The nurse is caring for a client who has been recently placed on an antidepressant. Which of the following would be a correct statement made by the nurse, regarding antidepressant drugs?
A) The drug must be taken several weeks for a therapeutic effect to occur. B) Antidepressants are curative. C) There are no risks of suicide when taking this type of medication. D) The medication should be stopped when the client is feeling better.
The nurse providing education at a community forum on obesity and heart disease informs the group that "obese" is described as a body mass index greater than
a. 15 kg/m2. b. 20 kg/m2. c. 25 kg/m2. d. 30 kg/m2.
A client with loss of control over his voluntary movements is admitted to a healthcare
facility. Which functions performed by the motor neurons should the nurse be aware of? A) Receive and transmit messages from the central nervous system (CNS) B) Associate impressions and information C) Maintain constant level of blood pressure (BP) D) Regulate the release of hormones