Question

1.A client who is confine to bed would be at risk for edema in the sacrum. 2.A flood in a community, outside would be classified as an external disaster. 3.The skin is the first and best barrier from pathogens. 4.Know the components of a nursing diagnosis. 5.Know the nursing process and when does it begin? 6.What does advance directives ensures? 7.Know the difference between short-term objectives and long-term objectives 8.Thirst is the primary indicator of hydration status. 9.How should the nurse identify a client prior to medication administration? 10.Fall risk must be documented at least every 24 hours on every patient. 11.Know the difference between subjective data and objective data 12.Know the definition of contact precaution, airborne transmission, droplet transmission 13.What is the most important factor in preventing the spread of MRSA? 14.An independent action the nurse can do is providing back rub. 15.In the nursing process before developing goals for care a diagnosis should be made. 16.Which personal protective equipment would be needed for a client with TB? 17.The kidneys and lungs are the primary organs that are involved in pH regulation. 18.When does discharge planning begins?

Answer 1

Answer 1: Client who is confine to bed would be at risk for edema in the sacrum. True.

Rationale: The sacrum edema occurs when the person confine to the bed for prolonged time. It leads edema might show up back on the patient and swelling in the legs and feet.

Answer 2: A flood in a community, outside would be classified as an external disaster. True

Rationale: The external disaster could be the natural disasters such as flood, earthquake etc.

Answer 3: The skin is the first and best barrier from pathogens. True.

Rationale: Skin layer is one of the protective layer which prevents invansion of the bacteria or microbes in to the blood stream. Skin doesn't allow the pathogen to penetrate.