When removing a gown from a patient who has a weak or paralyzed arm,
A. ask the nurse to remove the gown, to prevent injury.
B. remove the gown from both arms simultaneously.
C. remove the gown from the strong arm first.
D. remove the gown from the weak arm first.
Answer: C
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The patient undergoes a cardiac catheterization that requires the use of contrast dyes during the procedure. To detect signs of contrast-induced kidney injury, the nurse should:
a. not be concerned unless urine output decreases. b. evaluate the patient's serum creatinine for up to 72 hours after the procedure. c. obtain an order for a renal ultrasound. d. evaluate the patient's post void residual volume to detect intrarenal injury.
The nurse is planning care for a patient with a thrombotic stroke in the distribution of the right middle cerebral artery. Which patient problem is the priority for care in the acute phase of this disease process?
1. Nutrition will not be adequate due to dysphagia. 2. Patient will require total care due to paralysis. 3. Brain damage will occur because the adaptive capacity of the brain is altered. 4. Circulation of the brain is no longer adequate for aerobic metabolism.
A nurse is assessing a client who practices yoga for relaxation, is following a nutritionally sound diet, and has supportive, sound relationships with her spouse and children
According to Dunn's high-level wellness grid, this client would exemplify which of the following? A) Emergent high-level wellness in a favorable environment B) High-level wellness in a favorable environment C) Emergent high-level wellness in an unfavorable environment D) Protected health in a favorable environment
The primary function(s) of the skin is
A) to provide a second line of defense against infection. B) to help regulate the oxygen level in the blood. C) to cover and protect the underlying body structures from injury and invasion by microorganisms. D) all of the above