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 devices
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- 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 dayA 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 nursing interventions is appropriate for a patient with impaired mobility? a) Encouraging the patient to remain in bed at all times b) Assisting with range-of-motion exercises c) Restraining the patient to prevent falls d) Administering sedatives to keep the patient calm
- Which technique is most effective for promoting patient safety in the hospital? A) Using restraints as a first option for all patients B) Implementing fall prevention protocols C) Encouraging patients to walk without assistance D) Leaving call lights just out of reach to encourage mobilityDuring 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 is admitted with a diagnosis of Guillain-Barre syndrome (GBS). Which of the following findings on physical examination would be MOST concerning for the nurse? a) Decreased muscle strength b) Absent deep tendon reflexes c) Sensory disturbances in the extremities d) Difficulty swallowing
- 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 MobilityThe nurse is reviewing the medication list for a patient who will be starting therapy with somatropin. Which type of drug would raise a concern that needs to be addressed before the patient starts the somatropin? a )Nonsteroidal antiinflammatory drug for arthritisb) Antidepressant drugc )Penicillind )GlucocorticoidBefore initiating therapy with a nonselective beta blocker, the nurse will assess the patient for a history of which condition?a) Hypertensionb) Liver diseasec) Pancreatitisd) Asthma
- A patient is receiving dobutamine for shock and is complaining of feeling more “skipping beats” than yesterday. What will the nurse do next? a) Monitor for other signs of a therapeutic response to the drug.b) Titrate the drug to a higher dose to reduce the palpitations.c) Discontinue the dobutamine immediately.d) Assess the patient’s vital signs and cardiac rhythm.A hospitalized patient is complaining of having difficulty sleeping. Which action will the nurse take first to address this problem?a )Administer a sedative-hypnotic drug if ordered.b )Offer tea made with the herbal preparation valerian.c )Encourage the patient to exercise by walking up and down the halls a few times if tolerated.d )Provide an environment that is restful, and reduce loud noises.A patient receiving chemotherapy is experiencing severe bone marrow suppression. Which nursing diagnosis is most appropriate at this time? a )Activity intoeranceb )Risk for infectionc )Disturbed body imaged) Impaired physica mobiity