Your client is confined to a wheelchair. Where is/are the most likely site(s) for a pressure ulcer to develop?
1. ischial tuberosities and coccyx
2. elbows
3. greater trochanters
4. medial and lateral condyles
ANS: 1
You might also like to view...
The nurse is caring for a client with hypovolemic shock from trauma. Administration of albumin is indicated for:(Select all that apply) Standard Text: Select all that apply
1. Supporting the client's blood pressure 2. Increasing plasma volume 3. Improving the oxygen-carrying capacity 4. Prevent bleeding 5. Preventing febrile transfusion reactions
The nurse is caring for a client who has a small pneumothorax and is capable of being ambulatory. Which prescription does the nurse anticipate when caring for this client?
1. Chest tube placed in the upper chest on the side of the pneumothorax 2. Chest tube placed in the lower chest on the side of the pneumothorax 3. Heimlich chest drain valve in the upper chest on the side of the pneumothorax 4. Heimlich chest drain valve in the lower chest on the side of the pneumothorax
A newly licensed nurse is working on a psychiatric health unit. The nurse observes that many elderly clients suffer from paranoia. The nurse is aware that this may be due to
A) loss of independence. B) hearing loss. C) vision loss. D) low life satisfaction.
The home health nurse is making the first visit to a client who will continue to need sterile dressing changes after abdominal surgery. In assessing the home environment, which must be considered when performing the home dressing change?
A. There is dust on many of the surfaces. B. The furniture appears worn. C. There is a cat that is allowed on the furniture. D. There are dirty dishes on the dining room table.