During the bath, the nurse observed that the patient has dry skin. The best action by the nurse is to:
a. Bathe the patient more frequently.
b. Use an emollient on the dry skin.
c. Massage the skin with warm water.
d. Discourage fluid intake.
ANS: B
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A patient says, "It takes me about 15 minutes to go to sleep each night.". This comment describes:
a. delta sleep. b. parasomnia. c. sleep latency. d. rapid eye movement sleep.
The triage nurse is working in the ED. A homeless person is admitted during a blizzard with complaints of being unable to feel his feet and lower legs. Core temperature is noted at 33.2°C (91.8ºF)
The patient is intoxicated with alcohol at the time of admission and is visibly malnourished. What is the triage nurse's priority in the care of this patient? A) Addressing the patient's hypothermia B) Addressing the patient's frostbite in his lower extremities C) Addressing the patient's alcohol intoxication D) Addressing the patient's malnutrition
Which client assessment indicates the most toxic effect of a medication?
1. Nausea and vomiting 2. Respiratory depression 3. Erythema and skin rash 4. Bloating and constipation
Which of the following statements accurately describes a general consideration when performing CPR on a patient
A) If the nurse is unsure whether the patient has a pulse, CPR should not be initiated. B) Perform Hands-Only CPR for victims of drowning, trauma, and airway obstruction. C) Perform CPR in the same manner if the patient is obese. D) Do not use a one-way valve mask over a child's nose and mouth when performing CPR.