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- Which nursing action is essential in the prevention of pressure ulcers? A) Keeping the patient in one position B) Frequent skin assessments and repositioning C) Applying high-pressure mattresses D) Limiting fluid and nutritional intakeWhich 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 mattresses
- 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 mobiityThe 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 hourA patient with rheumatoid arthritis presents with joint pain, stiffness, and limited range of motion. The nursing diagnosis that best reflects the patient's condition is: a) Impaired Physical Mobility b) Chronic Pain c) Risk for Falls d) Impaired Skin Integrity.
- Which nursing intervention promotes wound healing in a patient with diabetes? A) Keeping the wound area dry and exposed to air B) Increasing sugar intake to promote energy for healing C) Monitoring blood glucose levels and maintaining them within target range D) Applying heat to the wound for long periodsFor 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 dayDuring 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.
- 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 ecchymosisA 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.When assessing a patient who is to receive a decongestant, the nurse will recognize that a potential contraindication to this drug would be which condition? a )Glaucomab) Feverc) Peptic ulcer diseased )Allergic rhinitis