Homework Answers
Change the client postion
it is very common to have pressure sore for patients who were immobile and restricted to bed. The important nursing care for these patient is to change the postion veery two hours, so that the pressure points of the body not get expossed for long time. It will be better to use side laying position for the patient as most of the pressure points were at the back.
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50.The is assessing a client who is immobile and notes a red area on the client's...
A nurse is assessing a client who is immobile and notices a red area over the...
A nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which of the following actions should the nurse take? o o o o Change the client's position every 4 hr Use friction when cleansing the client's skin Applý a petroleum- based ointment: to the red area Assess the red area for branching
a client has a low platelet count, which is important to teach the client? 2. The...
a client has a low platelet count, which is important
to teach the client?
2. The nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which of the following actions should the nurse take?
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas...
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas values are pH 7.33, PaO2 88 mm Hg. PaCO2 38 mm Hg, and HCO3- 19 mEq/L. Which assessment should the nurse perform first? A. Cardiac rate and rhythm B. Skin and mucous membranes C. Musculoskeletal strength D. Level of orientation A nurse assesses a client who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.32, PaO2 85 mm...
149. a nurse is caring for an older adult client who has urinary incontinence . which...
149. a nurse is caring for an older adult client who has urinary incontinence . which of the following action should the nurse take to reduce the risk for skin breakdown from exposure to urine? Place an extra folder sheet under the client buttocks Clean the perineal area with cool water Use a petriven band ointment skin Ably talcum powder to the area after cleaning
RatiOnanzatiO 450. When assessing a client who has just undergone a cardioversion, the practic nurse (LPN)...
RatiOnanzatiO 450. When assessing a client who has just undergone a cardioversion, the practic nurse (LPN) finds the respirations are 12/minute. Which action should the nurse take first?
tion: 19-19 of 70 Page: 19 of 70 19 A nurse is assessing a client who...
tion: 19-19 of 70 Page: 19 of 70 19 A nurse is assessing a client who requires bed rest and finds a reddened area over the COCCYE Which of the following actions should the nurse take first? Place the client on a pressure-relieving bed. Determine whether the area blanches Encourage the client to report pain in the affected area. Remind the client to change positions often a
1. A nurse is changing a client's colostomy pouch and notice peristomal skin irritation Which of...
1. A nurse is changing a client's colostomy pouch and notice peristomal skin irritation Which of the following actions should the nurse take? A. Rub the peristomal skin dry after cleaning B. Apply the pouch while the skin barrier is still damp C. Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma D. Change the pouch once every 24 Hr. 2. A nurse is caring for a client who has left lower lobe atelectasis. In which of...
A nurse is assessing a client who is receiving a transfusion of packed red blood cells...
A nurse is assessing a client who is receiving a transfusion of packed red blood cells (RBC). Which of the following findings should the nurse Identify as an indication of an acute intravascular hemolytic reaction! Severe hypertension cowboy mature Suddenler Decreased respons G LEN RA-White Lead LL-Red Lead RL Green Leady-Brown Lead LA-Black Load QWERTY A S D F G H IS z X CVBN
A nurse is implementing seizure precautions for a client who has a seizure disorder the client's...
A nurse is implementing seizure precautions for a client who has a seizure disorder the client's bedside? (Select all that apply.) ✓ Supplemental oxygen supplies T Limb restraints Oral airway Blood glucose monitor Oral suction equipment nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should the nurse that the client has hyperglycemia? O Shakiness O Cool Skin O Confusion Thirst A nurse is planning care for a...
A nurse is providing skin care for a 14 year- old adolescent client who is in...
A nurse is providing skin care for a 14 year- old adolescent client who is in skeletal traction for a fractured femur. Which of the following actions should the nurse take? (Select all that apply.) a.Check the clients skin every 2hours. b.Elevate the head of the bed to 90’ angle c.Cleanse the skin with soap-free agents. d.Use a draw sheet to move the client in bed e.Massage reddened bony prominences. A nurse is reinforcing teaching about sterile technique with a...
A nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which of the following actions should the nurse take? o o o o Change the client's position every 4 hr Use friction when cleansing the client's skin Applý a petroleum- based ointment: to the red area Assess the red area for branching
a client has a low platelet count, which is important
to teach the client?
2. The nurse is assessing a client who is immobile and notices a red area over the client's coccyx. Which of the following actions should the nurse take?
A nurse assesses a client who is experiencing an acid-base imbalance. The client's arterial blood gas values are pH 7.33, PaO2 88 mm Hg. PaCO2 38 mm Hg, and HCO3- 19 mEq/L. Which assessment should the nurse perform first? A. Cardiac rate and rhythm B. Skin and mucous membranes C. Musculoskeletal strength D. Level of orientation A nurse assesses a client who is admitted with an acid-base imbalance. The client's arterial blood gas values are pH 7.32, PaO2 85 mm...
149. a nurse is caring for an older adult client who has urinary incontinence . which of the following action should the nurse take to reduce the risk for skin breakdown from exposure to urine? Place an extra folder sheet under the client buttocks Clean the perineal area with cool water Use a petriven band ointment skin Ably talcum powder to the area after cleaning
RatiOnanzatiO 450. When assessing a client who has just undergone a cardioversion, the practic nurse (LPN) finds the respirations are 12/minute. Which action should the nurse take first?
tion: 19-19 of 70 Page: 19 of 70 19 A nurse is assessing a client who requires bed rest and finds a reddened area over the COCCYE Which of the following actions should the nurse take first? Place the client on a pressure-relieving bed. Determine whether the area blanches Encourage the client to report pain in the affected area. Remind the client to change positions often a
1. A nurse is changing a client's colostomy pouch and notice peristomal skin irritation Which of the following actions should the nurse take? A. Rub the peristomal skin dry after cleaning B. Apply the pouch while the skin barrier is still damp C. Ensure the pouch is 0.32 cm (1/8 in) larger than the stoma D. Change the pouch once every 24 Hr. 2. A nurse is caring for a client who has left lower lobe atelectasis. In which of...
A nurse is assessing a client who is receiving a transfusion of packed red blood cells (RBC). Which of the following findings should the nurse Identify as an indication of an acute intravascular hemolytic reaction! Severe hypertension cowboy mature Suddenler Decreased respons G LEN RA-White Lead LL-Red Lead RL Green Leady-Brown Lead LA-Black Load QWERTY A S D F G H IS z X CVBN
A nurse is implementing seizure precautions for a client who has a seizure disorder the client's bedside? (Select all that apply.) ✓ Supplemental oxygen supplies T Limb restraints Oral airway Blood glucose monitor Oral suction equipment nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should the nurse that the client has hyperglycemia? O Shakiness O Cool Skin O Confusion Thirst A nurse is planning care for a...
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