Which actions by the nurse are considered "skilled nursing care"? Select all that apply
a. Changing a wound dressing
b. Assisting with bathing and grooming
c. Monitoring an IV antibiotic
d. Teaching a patient how to use a blood glucose monitor
e. Helping a patient to get dressed
A, C, D
Skilled care includes services offered by trained (usually licensed) healthcare professionals who have received the education and are licensed to provide the services.
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A child who weighs 6.4 kg and is 62.5 cm tall has a BSA of ______________
a. 1.77 m2 b. 0.33 m2 c. 0.11 m2 d. 3.13 m2
The nurse is caring for a patient with increased intracranial pressure (ICP). The patient has a nursing diagnosis of Ineffective cerebral tissue perfusion. What would be an expected outcome that the nurse would document for this diagnosis?
A) Copes with sensory deprivation. B) Registers normal body temperature. C) Pays attention to grooming. D) Obeys commands with appropriate motor responses.
The nurse assumes care for a patient who is currently receiving a dose of intravenous vancomycin (Vancocin) infusing at 20 mg/min
The nurse notes red blotches on the patient's face, neck, and chest and assesses a blood pressure of 80/55 mm Hg. Which action will the nurse take? a. Request an order for IV epinephrine to treat anaphylactic shock. b. Slow the infusion to 10 mg/min and observe the patient closely. c. Stop the infusion and obtain an order for a BUN and serum creatinine. d. Suspect Stevens-Johnson syndrome and notify the provider immediately.
A client was in a motor vehicle crash where he sustained injury to his spinal cord that has resulted in difficulty with balance and holding his posture. Which should the nurse suggest the client consider?
1. Animal-assisted therapy 2. Hypnotherapy 3. Chelation therapy 4. Detoxification