To prevent respiratory complications, the person is repositioned at least every:
a. Hour
b. 2 hours
c. 4 hours
d. Shift
B
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The nurse provides for the care of the client after a cerebrovascular accident with expressive aphasia. Which of the following interventions should be the priority intervention?
A) Listen for the intent of the message and do not concentrate on the words. B) Devise a picture chart for the patient to point for requests. C) Encourage the client to speak when no one is around. D) Remind the patient that no improvement is expected.
Which statement by the nurse would be the most appropriate at the beginning of the health interview?
a. "Hello, Mrs. Smith. My name is Alice. We'll start with a few questions before the physical exam." b. "Welcome, Sara. I'm Alice. Let's get down to some questions about your health." c. "I'm Alice Jones. I'm here to do an interview about your health." d. "Hey, Mrs. Smith! Are you ready for some questions about your health?"
A grade 6 heart murmur is a quiet murmur, but it can be heard when auscultating the heart
Indicate whether the statement is true or false
The client is a slim but well-nourished 72-year-old who broke a hip 2 days ago. The client underwent hip pinning surgery this morning and will be confined to bed for several days until able to ambulate
The nurse helps the client turn in bed frequently to reduce pressure on bony prominences and assists the client with elimination needs. What are the most appropriate nursing diagnoses for this client? 1. Feeding self-care deficit and Impaired skin integrity 2. Impaired skin integrity and Toileting self-care deficit 3. Toileting self-care deficit and Risk for impaired skin integrity 4. Risk for impaired skin integrity and Feeding self-care deficit