Answer to Question 1
D
Feedback:
Traction is used to keep the body part in proper alignment. It does not provide strength to the body part in traction, reduce potential for skin breakdown, or support the body to reduce pressure on bony prominences. A trapeze is used to provide strength to the arms when the client is in bed. A well-made bed reduces potential for skin breakdown. A flotation mattress supports the body to reduce pressure on bony prominences.
Answer to Question 2
D
Feedback:
If the nurse tells the client what he or she heard, it helps the nurse to make sure it was what the client meant. Often the person adds more to the statement or clarifies the nurse's interpretation. CLIENT: I was in the hospital 2 years ago and I swore I would never come here again. NURSE: You were dissatisfied with your stay? Reflection can be used in two ways. First, the nurse may echo the client's words, allowing the client to hear what he or she just said. In this way, the client can re-evaluate the words to determine if they expressed what he or she actually meant. CLIENT: My life has been one frustration after another. NURSE: Your life has been full of frustrations? The second way to reflect is to point out the client's behavior or attitude that seems to be underlying his or her words. CLIENT: I'm just a worthless old man, and no one cares about me NURSE: You say that as if you were very angry. Use of paraphrasing helps the nurse to clarify the interpretation of the message by restating it in other words. CLIENT: It was really noisy here last night. It was like Grand Central Station. NURSE: You didn't get a very good night's sleep? What can we do to help you sleep better?
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C, A nurse can also administer the medication by setting the dose and rate with an electronic infusi
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
Cerebral Vascular Accident - Left
To check pupillary reflexes the nurse first holds the penlight