When a nurse observes that an older client's skin is dry and shiny and his nails are thickened, the nurse determines that the client is most likely experiencing
A) Anemia
B) Malnutrition
C) Poor tissue perfusion
D) Congestive heart failure
Ans: C
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The nurse is teaching the patient about risk factors for diabetes mellitus. Which of the following risk factors cannot be modified by the patient?
A) Poor control of blood glucose levels B) Inappropriate foot care C) Current or recent foot trauma D) Advanced age
The client with myasthenia gravis in cholinergic crisis has been treated with atropine. What nursing intervention is a priority for this client?
A. Suctioning the client B. Turning and positioning the client C. Measuring urinary output ever 30 minutes D. Administering anticholinergic drugs on time
An elderly client is admitted with a diagnosis of a fractured right hip resulting from a fall in her home. The nurse is preparing to initiate the order for the application of Buck's traction to the affected leg
Put the following actions in the proper order to accomplish the intervention: 1. Assemble the traction device and attach to the foot of the bed. 2. Carefully attach the weight to hang freely at the foot of the bed. 3. Have an assistant stand at the foot of the bed holding traction in a straight line. 4. Secure the Buck's boot to the skin on the leg. 5. Place the Buck's boot around the lower leg. • 1, 3, 5, 4, 2 • 3, 1, 2, 4, 5 • 1, 5, 4, 3, 2 • 2, 1, 5, 3, 4
You spilled a hazardous substance. Before cleaning up the spill, you should:
a. Check the material safety data sheet (MSDS) b. Put on a gown, gloves, mask, and boots c. Call the fire department d. Wash your hands