Use the overbed table for soiled items only.
Answer the following statement true (T) or false (F)
False
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The staff nurse is admitting a diabetic who is newly diagnosed with peripheral neuropathy. Which should the nurse include when teaching home management?
1. "Set water heater at 120°F." 2. "Wear open-toed shoes to allow circulation." 3. "Use a mirror to inspect feet daily." 4. "Increase medication for pain as necessary."
The nurse is providing instructions to the NAP on applying a condom catheter on a male patient. Which of the following indications should the NAP report to the nurse? (Select all that apply.)
a. Patient complains of pain at the site or when voiding b. Redness or irritation at the site where the condom catheter is applied c. Skin breakdown of the glans penis or pe-nile shaft d. Urinary incontinence
A young adult male is selling artifacts at a local arts and crafts festival along with several members of his extended family who are from an island in Southeast Asia
He is brought to the community mental health center by the police for evaluation for involuntary admission for psychiatric intervention following an "incident" with a customer at the festival. He is accompanied by several members of his family. One of the police officers remarks, "The whole family is acting nuts." During your assessment, you determine that the family is very confused and puzzled as to why the incident occurred and why the police were called. This family most likely views the young man's behavior during the "incident" as: a. a form of mental illness that needs formal psychiatric treatment b. unusual, eccentric behavior that should be managed independently by the family c. normal behavior that is explained by their culture of origin d. a response to stress that requires religious ritual cleansing to correct
What additional history and physical information should you obtain related to her admitting diagnosis? Name at least four for each
Please help and be physical examination and patient history specific. R.K. is an 85-year-old woman who lives with her husband, who is 87. Two nights before her admission to your cardiac unit, she awoke with heavy substernal pressure accompanied by epigastric distress. The pain was reduced somewhat when she rolled onto her side but did not completely subside for about 6 hours. The next night, she experienced the same chest pressure. The following morning, R.K.'s husband took her to the physician and she was subsequently hospitalized to rule out myocardial infarction (MI). Laboratory specimens were drawn in the emergency department. She was given an intravenous (IV) line, oxygen (O2) at 2 L via nasal cannula, and 325 mg chewable, non–enteric-coated aspirin. You obtain the following information from your history and physical examination: R.K. has no history of smoking or alcohol use, and she has been in good general health, with the exception of osteoarthritis of her hands and knees and some osteoarthritis of the spine. Her only medications are simvastatin (Zocor), ibuprofen as needed for bone and joint pain, and "herbs." Her admission vital signs (VS) are blood pressure 132/84 mm Hg, pulse 88 beats/min, respirations 18 breaths/min, and oral temperature 99 ° F (37.2 ° C). Her weight is 114 lb and height is 5 ft, 4 in. Moderate edema of both ankles is present; capillary refill is brisk and peripheral pulses are 1+. You hear a soft systolic murmur. She denies any discomfort at present. You place her on telemetry, which shows the rhythm in the following figure.