List at least five measures to prevent pressure ulcers on the feet and ankles.
What will be an ideal response?
| · | Suspend the feet off the surface of the bed. |
| · | Keep the skin well-lubricated with lotion. |
| · | Protect the feet from injury. |
| · | Make sure the patient is wearing footwear that fits properly; if footwear fits tightly, notify the nurse. |
| · | Make sure the patient always wears socks under shoes. |
| · | Make sure bed linen is not too tight on the feet. |
| · | Use a bed cradle to keep bedding away from the skin. |
| · | Monitor the skin on the feet and ankles daily and report abnormalities promptly. |
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A 68-year-old woman has had her mobility and quality of life severely affected by rheumatoid arthritis (RA)
Place the following pathophysiological events involved in her health problem in the correct order that they most likely occurred. Use all the options. A) Inflammatory response B) Interaction between rheumatoid factor (RF) and IgG C) T-cell-mediated immune response D) Pannus invasion E) Destruction of articular cartilage
The nurse is caring for a client who needs suctioning for thick, tenacious secretions in the upper airway. Which nursing diagnosis should the nurse use for this client on the basis of the assess-ment data?
1. At risk for aspiration 2. Gas exchange, impaired 3. Total fluid volume deficit 4. Airway clearance, ineffective
Which of the following are competencies/skills of team members that lend to successful teams?
a. conflict resolution, problem solving, goal setting b. communication, task completion, problem solving c. conflict resolution, task completion, goal setting d. problem solving, conflict resolution, task completion
You are giving a flu-prevention injection to a woman who shares with you that she lost her husband 2 years ago when, after discovering he had cancer, he committed suicide by carbon monoxide poisoning in their garage. This widow appears angry
She tells you that she still blames herself for not preventing her husband's death by being home that day. Which of the following interventions would be the MOST helpful at this time? a. Explain that she should be over the loss by this time. b. Tell her that she was not to blame, because he would have committed suicide even if she were home. c. Offer information about community resources and available groups for suicide survivors. d. Let her express her anger, and reassure her that her angry feelings will go away.