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- Which of the following is an example of a nursing intervention aimed at preventing pressure ulcers? a) Keeping the patient immobile for long periods b) Repositioning the patient regularly c) Applying excessive pressure to bony prominences d) Avoiding the use of pressure-relieving devicesA patient in the ICU is at risk for developing pressure ulcers due to immobility. The nurse implements preventive measures, including: a) Repositioning the patient every 8 hours b) Keeping the head of the bed elevated at 30 degrees c) Massaging bony prominences to improve circulation d) Using pressure-relieving devices such as foam or air mattressesWhich of the following interventions should the nurse prioritize when caring for a patient with a suspected tension pneumothorax? a) Administering supplemental oxygen b) Administering intravenous fluids c) Performing needle decompression d) Assisting with chest tube insertion.
- For a patient experiencing dyspnea, which nursing action is appropriate? A) Restrict fluids to reduce the workload on the heart B) Place the patient in a supine position to facilitate comfort C) Administer oxygen therapy as prescribed D) Encourage deep breathing exercises only during the dayWhen administering niacin, the nurse needs to monitor for which adverse effect? a )Cutaneous flushingb )Muscle painc )Headached )ConstipationA client fell 2 days ago; he has a compound fracture of his left tibia. The physician performed an open reduction with internal fixation (ORIF) to treat the fracture. An important nursing assessment for him would include a) hyperactive bowel sounds. b) elevated temperature and presence of erythema at incision site. c) ecchymosis and edema at incision site. d) complaints of activity intolerance. asap please.
- The nurse is assessing a client recently diagnosed with leukemia . Which of the following assessment findings would support the diagnosis ? a) Blood in urine b ) Blood in stool C)Cough or hoarseness d )Petechiae or ecchymosisDuring therapy with the cytotoxic antibiotic bleomycin, the nurse will assess for a potentially serious adverse effect by monitoring a )blood urea nitrogen and creatinine levels.b )cardiac ejection fraction.c )respiratory functiond )cranial nerve function.A patient with diabetes mellitus presents with a wound on the foot that is slow to heal. The nurse identifies which nursing diagnosis as most appropriate? a) Impaired Skin Integrity b) Ineffective Tissue Perfusion c) Risk for Infection d) Impaired Physical Mobility
- 4)The nurse completes an admission assessment on an older adult patient. The nurse identifies which factor that may contribute to falls A) Poly pharmacy b) exposure to sunlight c)taking antacids d)increased fluid intakeThe priority nursing action when caring for a patient with a nasogastric tube is to: A) Check tube placement before feeding or medication administration B) Increase the rate of tube feeding to prevent clogging C) Secure the tube loosely to prevent dislodgement D) Irrigate the tube with tap water every hourWhen giving metronidazole, the nurse implements appropriate administration techniques, including which of these? (Select all that apply.) a )Giving oral forms with foodb )Giving oral forms on an empty stomach with a full glass of waterc )Infusing intravenous doses over 30 to 60 minutesd )Administering intravenous doses by bolus over 5 minutes e) Obtaining ordered specimens before starting the medication