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The nurse is caring for a patient who is immobile. The nurse wants to decrease the formation of pressure ulcers. Which action will the nurse take first? a. Offer favorite fluids. b. Turn the patient every 2 hours. c. Determine the patient’s risk factors. d. Encourage increased quantities of carbohydrates and fats. ANS: C The first step in prevention is to assess the patient’s risk factors for pressure ulcer development. When a patient is immobile, the major risk to the skin is the ...

MATERNITY OB PN HESI SPECIALTY V2 (Detail Solutions and Resource for the test) 1) A client is admitted to the labor and delivery unit with contractions that are 3-5 minutes apart, lasting 60-70 seconds. She reports that she is leaking fluid. A vaginal exam reveals that her cervix is 80 percent effaced and 4 cm dilated and a -1 station. The LPN/LVN knows that the client is in which phase and stage of labor? A) Latent phase, First Stage B) Active Phase of First Stage C) Latent phase of Se...

When assessing whispered pectoriloquy, the nurse should instruct a client to do which of the following? A) Softly repeat the words ìone-two-three. î B) Say the number ìninety-nine.î C) Cough each time the stethoscope is moved. D) Say the letter ìeî until instructed to stop. 2. When preparing to assess a client's thoracic cage, the nurse should locate which landmark when determining where to begin the assessment of the ribs and intercostal spaces? A) Scapula B) Suprasternal notch...

A nurse has completed the general survey of a client who has been transferred to the unit. The information gathered during the general survey primarily provides the nurse with which of the following? Select all that apply. A) An indication of the level of physical distress experienced by the client B) Clues about the overall health of the client C) A direct link to the client's medical diagnosis D) Indications about normal variations in the status of body systems E) Data relating to the ...

Which of the following components of a clinical question represents the “P” in the PICOT format for asking clinical questions? A) The nurse's preparation for patient teaching prior to surgery B) Early ambulation versus aggressive anticoagulant therapy C) Individuals who require peritoneal dialysis D) Deep vein thrombosis 2. An unacceptably high number of patients on a geriatric, subacute medicine unit have developed pressure ulcers during their period of care. The nurses on the unit ...

A nonstress test is performed, and the physician documents “accelerations lasting less than 15 seconds throughout the fetal movement.” The nurse interprets these findings as: A. Normal B. Reactive C. Nonreactive Correct D. Inconclusive Rationale: A reactive nonstress test is a normal, or negative, result and indicates a healthy fetus. The result requires two or more fetal heart rate accelerations of at least 15 beats/min lasting at least 15 seconds from the beginning of the accele...

Table of Contents SU1: What is research? ..........................................................................................................2 Why research is important....................................................................................2 Scientific and non-scientific research .................................................................3 Basic research methods .......................................................................................4 Legal research .....

Nursing Health Assessment: A Best Practice Approach Sharon Jensen 3rd Edition Test Banks Chapter 1 1. Which is one of the broad goals within nursing? -To treat human responses 2. What do nursing activities that promote health and prevent disease accomplish? -Reduce the risk of disease -Maintain optimal functioning -Reinforce good habits

Question 1.Question : Which of the following is a crucial element of developing a guideline? Student Answer: Creating a physician expert panel Reviewing the literature with ratings of available evidence Conducting an external review of a guideline Developing evidence-based tables Points Received: 2 of 2 Comments: Question 2.Question : African American patients seem to have a negative reaction to which of the following asthma medications? Student Answer: Inhaled corticosteroids Long-te...

Question 2.Question : Which blood test is a nonspecific method and most helpful for evaluating the severity and course of an inflammatory process? Student Answer: Erythrocyte sedimentation rate White blood cell count Polymorphonuclear cells C-reactive protein (CRP