A teenage client who is paralyzed from the neck down following a skiing accident is placed on a special mattress to prevent skin breakdown. Which factor contributes to skin breakdown?
A) Age
B) High caloric intake
C) Immobility
D) Normal hydration level
C
Feedback:
Immobility contributes to skin breakdown. Older age, not younger age, contributes to skin breakdown. Insufficient, not high, caloric intake contributes to skin breakdown. Inadequate hydration level contributes to skin breakdown.
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A client with a hip fracture is experiencing muscle spasms. The nurse anticipates that the following type of traction may be utilized preoperatively to reduce the spasms:
A) skeletal traction B) manual traction C) Buck's traction D) balanced suspension traction
While completing an assessment, the nurse learns that the client has been a victim of domestic violence with multiple bruises and a possible fractured arm. Which of the following should the nurse do with this information?
1. Document the assessment findings in the client's medical record. 2. Report the findings of domestic violence to the appropriate regulatory agency. 3. Document the assessment findings and have the client moved to a private room. 4. Notify the physician.
A resident has a rip in the skin. The epidermis is separated from underlying tissue. This is:
a. A pressure ulcer b. An abrasion c. A skin tear d. A decubitus ulcer
Which of the following is an important inhibitory neurotransmitter that keeps emotion and behavior under control?
A. Serotonin B. Gamma-aminobutyric acid (GABA) C. Norepinephrine D. Dopamine