A nurse instructs a nursing assistant about moving older adult patients in bed. When should the nurse intervene when observing the nursing assistant perform a return demonstration?
a. The nursing assistant is using simple language.
b. The nursing assistant is avoiding jerky movements.
c. The nursing assistant is avoiding sudden movements.
d. The nursing assistant is pulling the patient across bed linens.
ANS: D
The skin of older adults is more fragile and susceptible to injury. When moving or transferring older adults, it is essential to avoid pulling them across bed linens because this may cause shearing or tearing of the skin. The nurse should explain each step in simple language and avoid jerky, sudden movements.
You might also like to view...
The nurse is caring for a patient whose recent unexplained weight loss and history of smoking have prompted diagnostic testing for cancer. What symptom is most closely associated with the early stages of laryngeal cancer?
A) Hoarseness B) Dyspnea C) Dysphagia D) Frequent nosebleeds
A client has a chest tube. What assessment findings require immediate intervention from the nurse? (Select all that apply.)
a. Intermittent bubbling in the water seal chamber in the client with a pneumothorax b. "Silent chest" in the client with a pneu-mothorax c. Tidaling in the water seal chamber in a client with a pneumothorax d. Bloody drainage in the tubing of a client with a hemothorax e. Tracheal deviation in a client after chest trauma f. No drainage in the chest tube of a client with a pneumothorax g. Constant bubbling in the water seal chamber in a client post chest surgery
The nurse is caring for a 4-year-old girl who has been hospitalized for over a week with severe burns. Which would be a priority intervention to help satisfy this preschool child's basic needs?
A) Encourage friends to visit as often as possible. B) Suggest that a family member be present with her 24 hours a day. C) Explain necessary procedures in simple language that she will understand. D) Allow her to make choices about her meals and activities as much as permitted.
Which topics should be included in a discussion on risk factors for developing a sexually oriented dysfunction? Select all that apply
a. Diabetes b. Depression c. Chronic pain d. Gastric ulcers e. Alcohol consumption