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  • If a patients stops Breathing, you should immediately call for help, stay with the patient, and start CPR
    If a patients stops Breathing, you should immediately call for help, stay with the patient, and start CPR
    I don't feel that this is true AT ALL. Why? well first you should never start CPR on a patient without first knowing if they have a DNR in place. If a caregiver were immediately begin CPR on a pt who has a DNR in place, that is going against what the pt is wanting. The facility, or homecare agency could wind up in some serious trouble if this were to be given.Crystal Nolan

  • Why should a nurse encourage a client with a wound to consume foods high in vitamin C?
    Why should a nurse encourage a client with a wound to consume foods high in vitamin C?
    1. enhances protein synthesis.-rationale: the client should be encouraged to consume foods high in vitamin c because vitamin c is essential for protein synthesis, an important part of wound healing. hemostasis is responsible for the inflammatory response and reducing edema. hemoglobin is responsible for oxygen transport.client needs category: physiological integrityclient needs subcategory: basic care and comfortcognitive level: knowledgereference: taylor, c., et al. fundamentals of nursing: the art and science of nursing care, 6th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1189.

  • What manner should the nurse instruct the client to proceed? A nurse is teaching a client with left leg weakness to walk with a cane.
    What manner should the nurse instruct the client to proceed? A nurse is teaching a client with left leg weakness to walk with a cane.
    A cane is an important piece of durable medical equipment, which can help a person’s ability to support their mobility. Instruct the person using the cane to hold it on their strong side. Advise them that to hold the cane correctly they should hold the cane on the side of your healthy leg and move forward as you move the compromised leg forward. This procedure will help you with balance. When you step forward with the weaker leg, move the cane forward at the same time. Always put the cane in the hand that is opposite the stronger leg. Always keep the cane close to you so that when you want to get up from a chair or to move to another area you have that much-needed support.

  • When does the blood circulation of elderly person generally improve?
    When does the blood circulation of elderly person generally improve?
    2 liquid intake is increased

  • Which protective equipment first should be removed by the nurse when leaving the room of a client in strict isolation?
    Which protective equipment first should be removed by the nurse when leaving the room of a client in strict isolation?
    There will be times when a patient must be put in strict isolation. It may be because the patient has an illness or disease that is very contagious or the other way around. The patient may not be able to be in contact with people because of the germs that they carry. The visitors may be able to withstand the germs because their bodies can fight off the infection. However, the patients may not be able to do that which is why they are placed in a strict isolation area. The nursing staff must go in to the isolation area and administer the procedures that are necessary. However, they must wear gloves to protect themselves and the patient. However, whenever they leave, the first thing that the nurse must do is to is dispose of the gloves when they leave the room.

  • Which level of health promotion example is this? An employer establishes a physical exercise area in the workplace and encourages all employees to use it.
    Which level of health promotion example is this? An employer establishes a physical exercise area in the workplace and encourages all employees to use it.
    In the workforce, workers are often working more hours nowadays than they did before. This means that there is less time for working out and getting exercise. Many employers see their workers sitting behind a desk for many hours a day. They need to get some exercise. Some companies are encouraging their workers to get more exercise by providing better health care and funding gym memberships. Some have even created a workout room somewhere in their building for their workers to use. Employees are encouraged to use it. When the company is doing this, the health insurance company may be asking them to do this and making the insurance costs to be lowered. When this occurs, the company is creating a level of primary prevention.

  • Which type of dressing should the nurse apply until a wound specialist can be contacted? While examining a client's leg, a nurse notes an open ulceration with visible granulation tissue in the...
    Which type of dressing should the nurse apply until a wound specialist can be contacted? While examining a client's leg, a nurse notes an open ulceration with visible granulation tissue in the...
    1. moist sterile saline gauze-rationale: moist sterile saline dressings support wound healing and are cost-effective. dry sterile dressings adhere to the wound and debride the tissue when removed. petroleum supports healing but is expensive. povidone-iodine is used as an antiseptic cleaning agent but because it can irritate epithelial cells, it shouldnt be left on an open wound.client needs category: safe, effective care environmentclient needs subcategory: safety and infection controlcognitive level: applicationreference: smeltzer, s.c., and bare, b. brunner & suddarths textbook of medical surgical-nursing, 11th ed. philadelphia: lippincott williams & wilkins, 2008, p. 1947.

  • Which factor should the nurse consider when providing care for this client? A client is receiving a bowel preparation of magnesium citrate the evening before a scheduled colonoscopy.
    Which factor should the nurse consider when providing care for this client? A client is receiving a bowel preparation of magnesium citrate the evening before a scheduled colonoscopy.
    1. the client may require fluid and electrolyte replacement.-rationale: bowel preparation, which usually involves laxatives and sometimes enemas, may cause severe fluid and electrolyte loss. the nurse should monitor the client for dehydration and electrolyte loss. diarrhea is expected after bowel preparation and shouldnt be treated. most clients eat a light meal the evening before the procedure or are ordered a clear liquid diet. raising the side rails may increase the risk of fall for a client with frequent diarrhea.client needs category: physiological integrityclient needs subcategory: reduction of risk potentialcognitive level: analysisreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 1130.

  • Which action by the nurse-manager is the best solution to the following problem? The managers of the physical and occupational therapy neurologic departments tell a nurse-manager of an...
    Which action by the nurse-manager is the best solution to the following problem? The managers of the physical and occupational therapy neurologic departments tell a nurse-manager of an...
    1. ask several staff nurses to work with the therapy staff to help solve the scheduling problem and offer herself as a resource.-rationale: in this situation, functioning as a democratic leader is best. the nursing and therapy staffs who deal with the day-to-day problems of direct client care have the best grasp of the situation and should have autonomy to solve problems. the nurse-manager, however, should be available to help. meeting with only the managers of physical and occupational therapy reflects an autocratic manager. without staff input, the nurse-manager wont have the information she needs to identify the best solution. by simply telling the nursing staff to follow the therapists schedules, the nurse-manager has abdicated responsibility for problem solving, yet the problem still exists. determining problem-solving options without staff input is indicative of a participative manager. a participative manager asks staff members for opinions, but staff membres dont have input into actual problem solving. this lack of input may cause resentment and frustration.client needs category: safe, effective care environmentclient needs subcategory: management of carecognitive level: analysisreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 115.

  • Which step should the nurse take immediately after documenting the locations of the bruises in the medical record? While performing an assessment of a 75-year-old female in the emergency...
    Which step should the nurse take immediately after documenting the locations of the bruises in the medical record? While performing an assessment of a 75-year-old female in the emergency...
    1. try to obtain more information from the client about when and how she acquired these bruises.-rationale: the nurse should try to obtain more information from the client to complete the assessment. without supporting information, she shouldnt assume the bruises indicate abuse, and she shouldnt notify her nursing supervisor until she has obtained additional facts. she should, however, inform the physician so he can examine the client. she should follow the facilitys policy and procedure for reporting abuse. the nurse should make a report if, after the assessment, she has a strong suspicion that abuse is the cause.client needs category: psychosocial integrityclient needs subcategory: nonecognitive level: applicationreference: weber, j., and kelley, j. health assessment in nursing, 3rd ed. philadelphia: lippincott williams & wilkins, 2007, p. 898.

  • Where should a nurse apply the thickest portion of a dressing when preparing a client with a draining vertical incision for ambulation?
    Where should a nurse apply the thickest portion of a dressing when preparing a client with a draining vertical incision for ambulation?
    At the base of the wound: when a client is ambulating, gravity makes the waste flow descending. Covering the base of the wound with additional dressing will contain the waste. applying the thickest part of the dressing at the best, in the center, or over the aggregate wound wont contain the waste. The body systems are backed off after surgery. Strolling likewise enhances blood flow and speeds wound mending. Inability to walk may cause expanded clogging and gas torment, shortcoming, less energy to battle infections, and puts you at a higher hazard for blood clusters and lung issues, for example, pneumonia. ambulation. a nursing result from the Nursing Outcomes Classification (NOC) characterized as capacity to stroll from place to put autonomously with or without assistive gadget.

  • Which action should the nurse take in this situation? Entering a client's room, a nurse on the maternity unit sees a mother slapping the face of a crying neonate.
    Which action should the nurse take in this situation? Entering a client's room, a nurse on the maternity unit sees a mother slapping the face of a crying neonate.
    1. return the neonate to the nursery, inform the physician so he can thoroughly examine the neonate for injuries, and notify social services for assistance.-rationale: the neonates safety and protection is the first priority. the nurse should immediately return the neonate to the nursery and inform the physician of the neonates abuse. by being the neonates advocate, the nurse allows the physician to examine the neonate for injuries resulting from the incident. social services should be notified. the neonate shouldnt remain in the room with the mother unsupervised. the nurse should follow the facilitys policy and procedure for reporting suspected and actual child abuse. although the incident may be part of the mother and neonates revised care plan, it requires immediate intervention, not simple notification of coworkers. confronting the mother doesnt provide for the neonates safety.client needs category: psychosocial integrityclient needs subcategory: nonecognitive level: analysisreference: craven, r.f., and hirnle, c.j. fundamentals of nursing: human health and function, 5th ed. philadelphia: lippincott williams & wilkins, 2007, p. 370.