Leon Simon, 84 years old, has been cared for in his home by his wife. He was admitted to a long-term care facility with pressure ulcers on his coccyx and both of his hips. Which of the following interventions would be inappropriate for Mr
Simon's plan of care?
a. Bed rest with dressing changes twice a day
b. Hourly turning and repositioning program
c. Assisted active range of motion and assisted ambulation
d. Toileting program to reduce incontinent episodes
A
Bed rest would cause Mr. Simon to have all of the negative outcomes of immobility. The complexity and extensive nature of Mr. Simon's skin breakdown would make rehabilitation a challenge, but responses B, C, and D should be part of his rehabilitation plan of care.
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Which statements if made by the nurse manager would demonstrate effective change management? Select all that apply
1. ?We cannot lose sight of the mission and values of our institution as we begin to integrate these changes.? 2. ?Although this task is going to be difficult, we have the full support of our hospital administration.? 3. ?If this approach doesn?t work, at least we can say we?ve tried.? 4. ?In order for this plan to work, everyone must agree to be a participant.? 5. ?Let?s wait until our administration has completed their reorganization before we implement change.?
The patient has elevated blood urea nitrogen (BUN) and serum creatinine levels with a normal BUN/creatinine ratio. These levels most likely indicate:
a. increased nitrogen intake. b. acute kidney injury, such as acute tubular necrosis (ATN). c. hypovolemia. d. fluid resuscitation.
If a researcher unobtrusively observes interactions among patients in a psychiatric hospital for the purposes of data collection, which human right may be violated?
a. Confidentiality b. Freedom from harm c. Justice d. Self-determination
The couple has had an ultrasound at 19 weeks' gestation, and their fetus was found to have anencephaly. The nurse is completing counseling for the couple on the ultrasound findings. Which statement indicates that additional teaching is needed?
1. "Our baby has an incomplete brain, and might not be born alive." 2. "This problem is not caused by one of us having a genetic problem." 3. "We won't know whether something is wrong until the baby's chromosomes are tested." 4. "Waiting until our 30s did not cause this problem to develop."