Steps to prevent a pressure ulcer may include
- A. Not disturbing the patient.
- B. Changing the position of a bedbound patient every 4 hours.
- C. Vigorously rubbing the skin with alcohol.
- D. Avoiding pressure on the heels of a bedbound patient.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
You may also like to solve these questions
What is the best example of documentation of patient teaching regarding wound care?
- A. The patient was instructed about care of wound and dressing changes.
- B. The patient demonstrated correct technique of wound care following instruction.
- C. The patient and caregiver verbalize that they understand the purposes of wound care.
- D. Written instructions regarding wound care and dressing changes were given to the patient.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
For a patient who is receiving chemotherapy, which laboratory result is of particular importance?
- A. WBC.
- B. PT and PTT.
- C. Electrolytes.
- D. BUN.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Why is the potential for death from infections with multidrug-resistant microorganisms increased?
- A. Such microorganisms remain unaffected by antimicrobial drugs.
- B. Such microorganisms react adversely with antimicrobial drugs.
- C. Antimicrobial drugs used for treatment cause severe adverse effects.
- D. Antimicrobial drugs used for treatment are not readily available.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A deathly ill patient from a culture different than the nurse’s is admitted. Which question is appropriate to help the nurse provide culturally competent care?
- A. “If you die
- B. will you want an autopsy?”
- C. “Are you interested in learning about palliative or hospice care?”
- D. “Do you have any preferences for what happens if you are dying?”
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A client with asthma presents with bilateral wheezing, decreased pulse oxygen saturation, and suprasternal retraction on inhalation. Which actions should the nurse take? (SATA)
- A. Administer prescribed salmeterol (Serevent) inhaler.
- B. Assess the client for a tracheal deviation.
- C. Administer oxygen to maintain saturations above 94%.
- D. Perform peak expiratory flow measurements.
Correct Answer: C
Rationale: The correct answer is C. Administer oxygen to maintain saturations above 94%. In asthma exacerbation, maintaining oxygen saturation is crucial to prevent hypoxia. Oxygen therapy helps improve oxygen delivery to tissues and organs. Administering salmeterol (choice A) may help with long-term management but is not an immediate priority. Tracheal deviation assessment (choice B) is not relevant to asthma exacerbation. Performing peak expiratory flow measurements (choice D) may be helpful for monitoring asthma severity but is not the priority in this acute situation.