The nurse is planning care for a patient who is at risk for a pressure injury. Which action should be included in this patient's plan of care? Select all that apply.
A. Turn at least every 2 hours.
B. Use pillows to offload pressure.
C. Keep on bed rest.
D. Pull up in bed every 2 hours or less.
E. Use a mild cleansing agent on the skin.
Answer: E
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Chloride plays a major role in maintaining
a. cellular immunity. c. bone strength. b. serum osmolality. d. adenosine triphosphate (ATP).
The nurse is caring for an older client with heart disease that is experiencing fatigue. Which will the nurse initially implement to enhance the overall quality of life and functional ability of the client?
1. Assess the need for assistive devices 2. Provide education on health screenings 3. Reinforce the importance of rehabilitation 4. Instruct the client on techniques for self-management
When caring for a client at home with chronic confusion due to Alzheimer's disease, a priority nursing goal would be to:
a. promote client independence. b. promote a safe environment. c. promote therapeutic communication. d. provide increased environmental stimulation.
Which example demonstrates the principle that all adults learn best from and in relation to their experiences?
a. Teaching the attitude of personal responsibility for health care b. Showing a patient newly diagnosed with diabetes the similarities between an insulin syringe and a 3-cc syringe c. Refraining from teaching two skills at one time d. Showing the patient how the current hand washing procedure he is now learning is like the hand washing he has always done