EAQ

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Which area of the client's body would the nurse consider a high risk for developing a pressure injury when caring for an older adult with Alzheimer type dementia who consistently sleeps in semi-Fowler position in bed?

Sacrum Rationale: The sacrum is the center of the greatest body mass; an elevated torso exerts pressure toward this are.

Which aspect of total client care needs would the nurse manager take into consideration if used on a 24-bed care unit.?

cost of nurses rationale: b/c total client care is provided by RN it can be very expensive and not realistic to use skilled and extremely knowledgeable professional nurse to provide all the care required in a unit of 24 clients.

which explanation would the nurse provide for administering prednisone to a client with an exacerbation of colitis?

Although the medication decreases intestinal inflammation, it will not cure the colitis rationale: Prednisone inhibits phagocytosis and suppresses other clinical phenomenon of inflammation; this is a symptomatic treatment that is not curative. The medication suppresses the immune response and increases the potential for infection. Result rapid, appetite increased, weight gain, and may result in fluid retention

The nurse is caring for a 9-month-old infant with gluten-induced enteropathy. Which common term for this disorder would the nurse use when discussing the infant's dx with parents?

Celiac disease Rationale: Celiac disease, celiac sprue, and gluten-sensitive enteropathy are terms used interchangeably for the same pathophysiologic process.

When evaluating fluid loss for a client with burns, which relationship between a client's burned body surface area and fluid loss would the nurse consider?

Directly proportional Rationale: There is greater extravasation of fluid into the tissue as the amount of tissue involved increases. Thus the relationship of fluid loss to the body surface area is directly proportional. Formulas are used to estimate fluid loss based on % of body surface area burned.


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