A nurse is bathing an elderly patient in the ICU. The patient has fine wrinkling, looseness, and sagging in her skin. Which of the following should the nurse do to best care for the patient's skin? Select all that apply
A) Scrub the patient's skin vigorously with a loofah to exfoliate.
B) Lather the patient with plenty of soap.
C) Immerse the patient for 10 minutes daily.
D) Use an emollient after bathing.
C, D
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Which of the following is a priority nursing diagnosis for a patient with COPD?
A) Ineffective breathing patterns related to ineffective respiratory mechanisms of the chest wall B) Self-care deficit related to activity intolerance C) Altered sleeping pattern related to insufficient ventilation D) Ineffective individual coping related to decreased socialization
An elderly patient reports having watery diarrhea for several days before coming to the clinic. This morning the patient is lethargic and confused. The nurse would assess this patient for which electrolyte imbalance?
1. Hypernatremia 2. Hyponatremia 3. Hypermagnesemia 4. Hyperkalemia
A 68-year-old woman with COPD has come to the clinic for a routine follow-up visit. The nurse escorts the patient to an examination room and measures vital signs. The nurse would expect the patient's vital signs to be what?
A) Higher than normal B) Lower than normal C) WNL D) The nurse would not routinely take this patient's vital signs
A patient diagnosed with bulimia nervosa is hospitalized for treatment of electrolyte im-balance. Which response by the nurse to the patient's request to use the bathroom imme-diately after eating lunch is most therapeutic?
a. "No one is allowed to leave the dining room during meals." b. "Okay, but as you know I will accompany you to the bathroom." c. "We've discussed that there are other options than to induce vomiting." d. "I think I understand your plan, and I cannot permit you to carry it out."