What are the advantages of using a validated risk assessment tool to document her skin condition on admission?
What will be an ideal response?
These tools provide a systematic approach for assessment. Many facilities have a policy requiring the
use of one, such as the Braden, Norton, or Gosnell scale, when a patient is admitted to identify those
at risk for developing a pressure-induced ulcer. The results guide the treatment of existing ulcers and
the implementation of appropriate interventions to prevent ulcers.
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The client states to the nurse that he is very anxious about having prostate cancer ever since his prostate-specific antigen (PSA) test came back elevated
The client asks, "Which diagnostic test produces definitive results if cancer is present?" The nurse is most correct to state which of the following? A) Transrectal ultrasonography B) Tissue biopsy C) Tumor marker studies D) Digital rectal exam
The nurse is evaluating the activity tolerance of a 9-month-old with iron-deficiency anemia. The finding that indicates the child is tolerating activity is:
1. Tachycardia. 2. Decreased alertness. 3. Respiratory rate less than 50 with activity. 4. Muscle weakness.
When administering IV vancomycin, the nurse should:
a. monitor the client for ototoxicity. b. maintain the client on complete bed rest. c. infuse this drug over a minimum of one hour. d. infuse this agent as an IV bolus.
What is the stance of the American College of Nurse Midwives (ACNM) with regard to educational
preparation? A) Higher degrees of educational preparation will improve health care outcomes therefore all nurse midwives should obtain advanced degrees. B) The AACN advocates for a BSN with special training for all nurses working in the area of women's health services. C) Higher degrees are needed to advance the profession but should not be mandated as access to health care services could be diminished. D) The ACNM actively lobbies against advanced degree requirements.