The nurse is developing a plan of care for a client who was injured in a motor vehicle accident
yesterday. The client is to be sedated for more than 2 weeks while breathing with the assistance
of a mechanical ventilato
...
The nurse is developing a plan of care for a client who was injured in a motor vehicle accident
yesterday. The client is to be sedated for more than 2 weeks while breathing with the assistance
of a mechanical ventilator. Which of the following would be an appropriate nursing diagnosis for
them at this time?
a.) Risk for infection related to subcutaneous injuries
b.) Risk for impaired skin integrity related to immobility
c.) Impaired tissue integrity related to ventilator dependency
d.) Impaired skin integrity related to ventilator dependency - Answer>>> b.) Risk for impaired
skin integrity related to immobility
The hospital nurse educator is preparing an orientation class for those newly hired on the surgical
suite. Which information will the educator include in the orientation curriculum regarding hand
and fingernail care? Select all that apply.
a.) Healthcare staff must routinely inspect their hands for breaks in the skin.
b.) Artificial nails are permitted if properly secured to the nail bed.
c.) Wristwatches may be worn as long as they are all metal.
d.) Healthcare staff are to avoid wearing nail polish.
e.) Fingernail length should be kept to half inch or less. - Answer>>> a.) Healthcare staff must
routinely inspect their hands for breaks in the skin.
d.) Healthcare staff are to avoid wearing nail polish.
When providing postmortem care, the nurse places dentures in the mouth and closes the eyes and
mouth of the patient within 2 to 4 hours after death. Why is the timing of the action so
important?
a.) To prevent blood from settling in the head, neck, and shoulders
b.) To perform these actions more easily before rigor mortis develops
c.) To set the mouth in a natural position for viewing by the family
d.) To avoid discoloration caused by blood settling in the facial area - Answer>>> b.) To
perform these actions more easily before rigor mortis develops
[Show More]