Identify the action the nurse takes to best prevent contractures in a client with second- and third-degree burns of the legs
a. Hyperextend the client's legs by elevating them on two pillows.
b. Apply ace bandages to the entire leg.
c. Have the client perform active range of motion exercises every hour.
d. Apply knee splints.
D
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The nurse is admitting an elderly client at the change of shift. The client seems to be nodding yes to every question. Which of the following nursing interventions is appropriate?
1. The nurse pulls the door shut to minimize the background noise. 2. The nurse raises her voice. 3. The nurse asks the client if he needs a hearing aid. 4. The nurse tells the client that they will talk later.
A client is receiving metformin (Glucophage). The nurse suspects that the client is developing lactic acidosis based on assessment of which of the following? Select all that apply
A) Malaise B) Hypertension C) Tachypnea D) Abdominal pain E) Muscular pain
The nurse is attempting to provide discharge teaching to a patient recently diagnosed with a terminal illness
The patient tells the nurse they would prefer to discuss this stage of care with the nurse that had been assigned to them for the past 3 days. What initial action by the nurse is indicated? 1. The nurse will need to contact the physician. 2. The nurse should ask the patient to sign a refusal of information form. 3. The nurse should continue to provide the information to the patient despite the objections of the patient. 4. The nurse should ask the patient what efforts could be taken to make him feel more comfortable.
The nursing assistant is responsible for equipping the patient's room with personal supplies such as fresh water, straws, and towels.
Answer the following statement true (T) or false (F)