The nurse determines that a client has a Braden Scale score of 9 . Which is the nurse's best intervention related to this assessment?
a. Document the finding per protocol.
b. Reassess the client in 3 days.
c. Increase the client's fluid intake.
d. Consult with the health care provider.
D
A score of 11 or less on the Braden Scale indicates severe risk for pressure ulcer development in terms of decreased sensory perception, exposure to moisture, decreased independent activity, decreased mobility, poor nutrition, and chronic exposure to friction and shear. The nurse needs to consult with the health care provider to relay this information and to obtain more aggressive skin protection measures than are currently provided.
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While evaluating development of children, the nurse notes that the development of secondary sexual characteristics follows a typical pattern
Place the appearance of secondary sexual characteristics in the female in order of appearance from earliest to latest. Standard Text: Click and drag the options below to move them up or down. Choice 1. Appearance of pubic hair Choice 2. Menarche Choice 3. Breast budding Choice 4. Breast Tanner stage 5, areola strongly pigmented
The passive process by which molecules of a solute move through a cell membrane from an area of higher concentration to an area of lower concentration is called which of the following?
1) Osmosis 2) Filtration 3) Hydrostatic pressure 4) Diffusion
A nurse monitors a patient with bipolar disorder who has taken carbamazepine for 2 years. Which laboratory value requires the most diligent surveillance?
a. Serum urea nitrogen b. Direct bilirubin c. Complete blood count d. Thyroid function studies
When performing the Heimlich maneuver, your hands should be placed
A. on the diaphragm. B. immediately below the ribcage. C. slightly above the navel. D. on the lower abdomen.