A critically ill patient is on mechanical ventilation through a tracheostomy and is receiving enteral nutrition through a gastrostomy tube. External fixation devices are in place for multiple fractures
Because of persistent hemodynamic instability, the patient has a great deal of time in the supine position. What areas of the patient's body are most likely to develop pressure ulceration?
A) Greater trochanter
B) Dorsal feet and toes
C) Ischial areas
D) Occipital areas
D
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The nurse is measuring the blood pressure of a 30-year-old client at a health screening fair. The client's blood pressure is 125/85. What should the nurse advise the client to do?
1. Have the blood pressure checked every 5-10 years. 2. Check into the hospital immediately. 3. Not worry, as this is a normal blood pressure. 4. Have the blood pressure checked at least every 2 years.
A client with an allergic reaction tends to itch due to histamine release. Which of the following nursing interventions will help reduce itchiness or prevent the client from scratching the skin?
A) Advise the client to use distracting techniques. B) Advise the client to avoid superfatted or Castile soap. C) Advise the client to dress in warm, woolly garments. D) Advise the client to avoid being in a humid environment.
A client just involved in a motor vehicle accident has sustained blunt chest trauma as part of his injuries
The nurse assessment reveals absent breath sounds in the left lung field. A left-sided pneumothorax is suspected and is further validated when assessment of the trachea reveals a. a shift to the right. b. a shift to the left. c. no deviation. d. subcutaneous emphysema.
List the symptoms of hypoglycemia