A nursing intervention directs the patient to be turned every 2 hours to prevent skin breakdown from immobility. Assessment findings on new reddened areas on the lateral aspects of the right knee and ankle are obtained
What is the most appropriate way for these findings to be used when the care plan is evaluated?
a. The information will be added to the relevant area of the electronic medical record.
b. The nursing diagnosis will be changed from an actual problem to a potential problem.
c. The new intervention of calling the physician will be added to the care plan.
d. The intervention will change to have the patient turned every hour.
ANS: D
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A child has been diagnosed with oppositional defiant disorder (ODD). The parents ask the nurse what risk factors the child has for this disorder. Which response by the nurse is the most appropriate?
A. "I am not sure; you can ask the doctor during your appointment." B. "It seems to be an inherited problem from a recessive gene." C. "The etiology seems to be complex, with multiple causes." D. "Unfortunately, nobody knows what causes this condition."
Which hormone is secreted by the placenta?
a. Follicle-stimulating hormone (FSH) b. Alpha-fetoprotein (AFP) c. Human chorionic gonadotropin (HCG) d. Luteinizing hormone (LH)
A very anxious young man comes to the clinic believing that he may have HIV infection because of his persistent influenza-like symptoms and his risky sexual behavior. What should the nurse anticipate that a positive blood analysis would show?
a. High levels of CD8 cells b. High levels of HIV-infected cells c. Low levels of T cells d. Low levels of antibodies
A client is ordered to receive a nonopioid analgesic. The nurse knows that the client is experiencing _____ pain
a. acute severe b. visceral (deep) c. acute mild d. superficial moderate to severe