The nurse is caring for several pts with SCIs. Which task is best to delegate to the UAP?
a. encourage use of incentive spirometry; evaluate the pt's ability to use it correctly
b. log-roll the pt; maintain proper body alignment and place a bedpan for toileting
c. check for skin breakdown under the immobilization devices during bathing
d. insert a foley catheter and report the amount and color of the urine
Answer: b. log-roll the pt; maintain proper body alignment and place a bedpan for toileting
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A nurse explains that the spinal cord extends from the brainstem to the level of which vertebra?
a. Last thoracic b. Second lumbar c. First sacral d. Coccygeal
The nurse is making a home visit to an older adult who has severe rheumatoid arthritis with flexion contractures of all four extremities. He is confined to bed. What nursing diagnosis is appropriate in relation to safety?
a. Risk for poisoning c. Risk for trauma b. Risk for suffocation d. Risk for disuse syndrome
A client has a potassium level of 3.2 mmol/L. What should the nurse expect when assessing this client? (Select all that apply.)
a. Hypotension b. Normal sinus rhythm c. Increased serum calcium levels d. Complaints of muscle weakness e. Serum glucose level of 225 mg/dL
In a rehabilitation unit, patients are randomly assigned to high fiber diets versus ordinary fiber diets, in order to measure the effect on constipation. What type of research is this?
a. Descriptive research b. Correlational research c. Quasi-experimental research d. Experimental research