The 75-year-old diabetic patient has an inflamed area at the shin caused by scratching. Which intervention should the nurse perform first?
a. Record the skin break.
b. Apply antibiotic ointment.
c. Wrap with an ACE bandage.
d. Cover with clear occlusive dressing.
D
Covering the area with a clear dressing protects the area from further scratching and becoming infected. The skin break should be recorded and the primary care provider notified of the area and the immediate action taken. The nurse cannot apply antibiotic ointment or an ACE bandage without an order, and neither of these interventions is warranted in this situation.
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The nurse wishes to enroll a patient with poor social skills in a training program for patients with schizophrenia. Which description accurately describes how social skills training works?
a. Complex interpersonal skills are taught by breaking them into simpler behaviors. b. Patients learn to improve their attention and concentration via computer drills. c. The group leaders provide support without challenging the patient to change. d. Patients learn social skills by practicing them in a supported employment setting.
When assessing the client's abdomen, a nurse hears high-pitched, loud, and rushing sounds with and without a stethoscope. These sounds are called:
a. borborygmi c. flatness b. dullness d. tympany
Colonoscopy results indicate the diagnosis of irritable bowel disease (IBD) in a patient admitted to the hospital with diarrhea. What information should the nurse include when preparing patient education regarding diet?
a. Dairy products are encouraged. b. No added salt is required. c. Low roughage should be followed. d. Protein foods are restricted.
What did the motivational theorist Saul Gellerman argue?
A) Individuals should be "stretched" on a regular basis to increase their productivity and motivation levels. B) "Stretching" should be used as a motivational strategy only for affiliation-oriented individuals. C) "Stretching" should be used as a motivational strategy only when an individual is already demotivated. D) Employees should be "stretched" intermittently to complete tasks more difficult than what they are used to doing.