The nurse is assisting an adolescent female with a Milwaukee back brace for treatment of scoliosis. Nursing care is correct if the nurse takes which action?
a. Has the patient take a Betadine shower before the brace is placed
b. Removes any wrinkles from the patient's thin cotton shirt under the brace
c. Asks the patient when her menstrual pe-riod is next due
d. Instructs the patient on how to loosen the brace for comfort
B
The nurse checks the thin cotton shirt under the brace so there are no wrinkles that could cause skin irritation. The shirt protects the skin from irritation and absorbs moisture. There is no need for a betadine shower before placing the brace. The menstrual cycle can be an annoyance when the brace is in place, but the skin integrity is priority. The brace must remain tight at certain points for it to work properly. The skin will be checked when it is removed daily.
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A nurse is evaluating a client who is being treated for dehydration. Which assessment result should the nurse correlate with a therapeutic response to the treatment plan?
a. Increased respiratory rate from 12 breaths/min to 22 breaths/min b. Decreased skin turgor on the client's posterior hand and forehead c. Increased urine specific gravity from 1.012 to 1.030 g/mL d. Decreased orthostatic light-headedness and dizziness
A nurse assesses a client who has diabetes mellitus. Which arterial blood gas values should the nurse identify as potential ketoacidosis in this client?
a. pH 7.38, HCO3- 22 mEq/L, PCO2 38 mm Hg, PO2 98 mm Hg b. pH 7.28, HCO3- 18 mEq/L, PCO2 28 mm Hg, PO2 98 mm Hg c. pH 7.48, HCO3- 28 mEq/L, PCO2 38 mm Hg, PO2 98 mm Hg d. pH 7.32, HCO3- 22 mEq/L, PCO2 58 mm Hg, PO2 88 mm Hg
The priority nursing diagnosis related to the care of a patient with chronic pancreatitis with drainage through the skin and abdominal wall is:
A) Disturbed body image B) Impaired skin integrity C) Nausea D) Risk for deficient fluid volume
Which hypothesis would be classified as a statistical hypothesis?
a. Oxygen inhalation at 2 L/min by nasal catheter will decrease oral temperature measured with an electronic thermometer. b. Oxygen inhalation at 2 L/min by nasal catheter will not affect oral temperature measured with an electronic thermometer. c. There will be a greater decrease in anxiety scores in patients receiving informational videos before open heart surgery than in patients who receive standard written information. d. There will be a difference in anxiety scores in patients receiving informational videos before open heart surgery and patients who receive standard written information.