You are a nurse on a medical surgical unit taking care of an 86-year-old patient. What
nursing intervention will you include in her care plan that relates to her stage one
pressure wound? Select all that apply.
A. Pad bony prominences with pillows or pads.
B. Use lotions generously on skin
C. Establish and provide a turning schedule on the patient care plan and at the
bedside.
D. Utilize waterbed, airbed, air-fluidized mattress, alternating pressure mattress, or
other pressure-sensitive mattresses for older individuals who are unable to get out of
bed or on bedrest.
,Give this one a try later!
A, C, D
A. Pad bony prominences with pillows or pads.
C. Establish and provide a turning schedule on the patient care plan and at
the bedside.
D. Utilize waterbed, airbed, air-fluidized mattress, alternating pressure
mattress, or other pressure-sensitive mattresses for older individuals who
are unable to get out of bed or on bedrest.
Which statement made by the graduate nurse working in the hospice unit with a
patient near the end of life requires correction by the precepting nurse?
A. "The patient has eaten only small amounts the past 48 hours; will the physician
consider placing a feeding tube?"
B. "The family seems comfortable with the long periods of silence."
C. "The physician ordered an increase in the dosage of morphine; I will administer the
new dose right away."
D. "The blood pressure is lower this afternoon than it was this morning; I will
communicate the changes to the family."
Give this one a try later!
A. The patient has eaten only small amounts the past 48 hours; will the
physician consider placing a feeding tube?"
The nurse knows that which of the following effects skin integrity in the geriatric
population. Select all that apply.
A. Decreased sensory perception
B. Increased skin elasticity
C. Dehydration
D. Malnutrition
E. Increased circulation
, Give this one a try later!
A, C, D
A. Decreased sensory perception
C. Dehydration
D. Malnutrition
A nurse is taking care of a patient with cognitive impairment. What is the priority
concern for the patient?
A. Promoting healthy sleep patterns.
B. Encouraging 1200 calories per day.
C. Managing the patient's pain.
D. Safe medication administration.
Give this one a try later!
D. Safe medication administration.
You are obtaining a health history from a patient and say, "I am taking so many drugs I
can't remember all of the names." What would be the best response by the nurse?
A. Ask the patient why they are so forgetful
B. Ask the patient if they know why they are taking the medications and communicate
the concern to the physician
C. Tell the patient to stop taking all of the medication immediately
D.Chart what they say but do not ask any more questions.
Give this one a try later!
B. Ask the patient if they know why they are taking the medications and
communicate the concern to the physician
nursing intervention will you include in her care plan that relates to her stage one
pressure wound? Select all that apply.
A. Pad bony prominences with pillows or pads.
B. Use lotions generously on skin
C. Establish and provide a turning schedule on the patient care plan and at the
bedside.
D. Utilize waterbed, airbed, air-fluidized mattress, alternating pressure mattress, or
other pressure-sensitive mattresses for older individuals who are unable to get out of
bed or on bedrest.
,Give this one a try later!
A, C, D
A. Pad bony prominences with pillows or pads.
C. Establish and provide a turning schedule on the patient care plan and at
the bedside.
D. Utilize waterbed, airbed, air-fluidized mattress, alternating pressure
mattress, or other pressure-sensitive mattresses for older individuals who
are unable to get out of bed or on bedrest.
Which statement made by the graduate nurse working in the hospice unit with a
patient near the end of life requires correction by the precepting nurse?
A. "The patient has eaten only small amounts the past 48 hours; will the physician
consider placing a feeding tube?"
B. "The family seems comfortable with the long periods of silence."
C. "The physician ordered an increase in the dosage of morphine; I will administer the
new dose right away."
D. "The blood pressure is lower this afternoon than it was this morning; I will
communicate the changes to the family."
Give this one a try later!
A. The patient has eaten only small amounts the past 48 hours; will the
physician consider placing a feeding tube?"
The nurse knows that which of the following effects skin integrity in the geriatric
population. Select all that apply.
A. Decreased sensory perception
B. Increased skin elasticity
C. Dehydration
D. Malnutrition
E. Increased circulation
, Give this one a try later!
A, C, D
A. Decreased sensory perception
C. Dehydration
D. Malnutrition
A nurse is taking care of a patient with cognitive impairment. What is the priority
concern for the patient?
A. Promoting healthy sleep patterns.
B. Encouraging 1200 calories per day.
C. Managing the patient's pain.
D. Safe medication administration.
Give this one a try later!
D. Safe medication administration.
You are obtaining a health history from a patient and say, "I am taking so many drugs I
can't remember all of the names." What would be the best response by the nurse?
A. Ask the patient why they are so forgetful
B. Ask the patient if they know why they are taking the medications and communicate
the concern to the physician
C. Tell the patient to stop taking all of the medication immediately
D.Chart what they say but do not ask any more questions.
Give this one a try later!
B. Ask the patient if they know why they are taking the medications and
communicate the concern to the physician
