What intervention should a nurse implement when assessing a patient with jaundice who has been given the nursing diagnosis of impaired skin integrity?
a. Sedate the patient.
b. Apply mittens or socks to the hands.
c. Restrain the hands.
d. Distract the patient with conversation.
B
Jaundice causes itching, which can cause the patient to scratching and create a break in the skin. Mittens provide some comfort without causing further skin impairment.
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Mr. Jones is a healthy, retired 68-year-old man. He has not been seen by his primary care physician since he was 55 years old. His immunization history is unavailable. At this time, he should be considered for
a. D/T (diphtheria-tetanus) vaccine, flu shot, pneumonia vaccine b. Meningococcal vaccine, HepB (hepatitis B) series, flu shot c. Flu shot, gamma shot, HepB series d. MMR (measles-mumps-rubella) vaccine, flu shot, pneumonia shot
A client is diagnosed with schizophrenia spectrum disorder. A physician orders haloperidol (Haldol) 50 mg bid, benztropine (Cogentin) 1 mg prn, and zolpidem (Ambien) 10 mg HS
Which client behavior would warrant the nurse to administer benztropine? 1. Tactile hallucinations 2. Tardive dyskinesia 3. Restlessness and muscle rigidity 4. Reports of hearing disturbing voices
When suctioning a tracheostomy, the nurse should:
a. wear clean gloves. b. insert the catheter without suction. c. suction for 1 minute before removing the catheter. d. place the used catheter in a plastic shield for later use.
Health care consumers are different from consumers in other sectors of the economy in that the intermediary payers advise consumers regarding consumption decisions
Answer the following statement(s) true (T) or false (F)