A nurse is assisting a client with shaving. Which step is appropriate when assisting the client in shaving?
A) Rub the area to make it dry after shaving.
B) Hold the skin lightly while making strokes.
C) Apply shaving cream if the client wishes.
D) Move razor against direction of hair growth.
C
Feedback:
The nurse should apply shaving cream if the client wishes. Rubbing the area to make it dry after shaving will cause skin chafing. The nurse should not hold the client's skin lightly; instead, the skin should be held taut while making strokes. Keeping the skin taut reduces the risk of cutting it. The razor must be moved in the direction of hair growth and not against the direction of hair growth to reduce skin irritation.
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Aware that older adult patients often present with nonclassic symptoms of type 2 diabetes mellitus, the nurse is particularly suspicious of a patient reporting
a. bouts of diarrhea alternating with periods of constipation. b. recent problems reading and an infected sore on the toe that will not heal. c. periods of depression and severe indiges-tion after eating. d. dizziness when getting up too quickly and a red rash on the hands.
The nurse who does not have advanced practice psychiatric preparation can use Structural Family Theory in which of the following ways?
a. See the family members in therapy sessions together. b. Make assessments of family structure for planning. c. Join the family system to participate in interactions. d. Change the family's structure.
The client who develops acute myelogenous leukemia (AML) often presents with which of these symptoms?
a. bradycardia and weight gain c. chest pain and pruritus b. bruising and recurrent infections d. ankle edema and hypertension
A nurse has just completed training on the Health Insurance Portability and Accountability Act (HIPAA). Which statement made by the nurse indicates that training has been successful?
1. "Faxing of information is prohibited by HIPAA." 2. "I need to verbally provide the patient with the privacy notice." 3. "I cannot discuss a patient's health history with family members without the patient's permission." 4. "Financial information relating to payment for services is not subject to the HIPAA regulations."