When performing a skin assessment for pressure ulcers on an older man who is bedridden and prefers to lie on his right side, the nurse will pay special attention to the __________. (Select all that apply.)

a. right ear
b. lateral edge of the right foot
c. sacrum
d. medial edge of the left foot
e. right scapula


ANS: A, B, D
For this right side–lying patient, the right ear, lateral edge of the right foot, and medial edge of the left foot are probable areas for pressure ulcers.

Nursing

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What is the broad section of biology dealing with the description of human structure?

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After a year, the staff at Pacific Hospital is frustrated, and implementation of evidence-based practice has gone poorly. In responding to this situation, the strategic planning team at Pacific Hospital:

a. Recommends that the mission, objectives, and goals of the hospital be reassessed. b. Revises the goal statements in the strategic plan. c. Consults an external team on preparation of materials on evidence-based practice. d. Holds focus groups with staff to deter-mine what kinds of issues, challenges, and obstacles have occurred in implementa-tion.

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A group of nurses visits selected patients individually at the beginning of each shift. What are these procedures called?

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A client asks about the benefits of having a copper intrauterine device (IUD) inserted for birth control. What is the nurse's most accurate response?

Standard Text: Select all that apply. 1. "The copper works like a spermicide to slow sperm motility." 2. "Even if an egg becomes fertilized, the device will not let it become implanted in the uterus." 3. "The device can be left in place for up to 10 years." 4. "It is a birth control option for someone who cannot take estrogen or progesterone." 5. "The device has no adverse effects."

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