A client has severe burns around the right hip. Which position does the nurse instruct the nursing assistant to use to maintain maximum function of this joint?
a. Hip maintained in 30-degree flexion
b. Hip at zero flexion with leg flat
c. Knee flexed at 30-degree angle
d. Leg abducted with foam wedge
B
Maximum function for ambulation occurs when the hip and the leg are maintained at full exten-sion with neutral rotation. Although the client does not have to spend 24 hours in this position, he or she should be in this position (in bed or standing) longer than with the hip in any degree of flexion.
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During a home visit, the nurse observes children acting out, shouting, and hitting each other when taking a small amount of food out of the refrigerator
The mother sits nearby yelling for the children to shut up while reaching for a cigarette. Which should the nurse consider as being helpful for this family situation? Select all that apply. A) Suggesting ways to improve the family's financial resources B) Suggesting ways to improve the parent's behavior C) Contacting the authorities because of child abuse D) Making a list of community resources to help this family cope E) Creating a genogram
Health-promotion planning for nutrition of an elderly person is based on the understanding that:
a. most older persons believe that nutrition is important, but few act on that belief. b. nutrition requirements decline with age, due to decreased activity levels. c. poverty forces older people to rely more on fresh produce than canned or frozen foods. d. older persons rarely skip meals, preferring to keep an organized eating schedule.
A preschool-age child is scheduled for a tonsillectomy. Which strategy might help lessen the child's anxiety before surgery?
a. Show the child a short, animated video (DVD) about the hospital visit and procedure. b. Give the child a tour of the hospital a week before the surgery is scheduled. c. Allow the child to use online sources of information to teach him about the procedure. d. Provide one-to-one instruction about the care he will need after surgery.
A patient receiving total parenteral nutrition has elevated serum blood urea nitrogen and serum sodium levels. The nurse would conduct additional assessment for which complication?
1. Prerenal azotemia 2. Hyperglycemia 3. Central line-associated bloodstream infection (CLABSI) 4. Hepatic dysfunction