A nurse is assessing a female client who has pneumonia. The nurse should identify which of the following findings increases the client's risk of skin breakdown?
Receiving bronchodilator medication
Weight loss of 2.8 kg (6.2 b)
Hemoglobin 17 g/dl (12 to 16 g/dL)
Wearing an oxygen device
The Correct Answer is B
Indicates an increased risk of skin breakdown. This is because significant weight loss can lead to muscle wasting and reduced subcutaneous tissue, making the skin more vulnerable.
Bronchodilators, hemoglobin level and oxygen device do not relate directly to skin breakdown
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
Rationale
The frequency and amount of urination indicates that the body in able to utilize glucose reducing glucosuria and osmotic diuresis.
The ability to tolerate oral intake also indicates an improvement in the client’s general health
Improvement in perception of pedal pulses indicates an improvement in the hydration status of the client.
A normal pulse rate and blood pressure is an indicator of optimal hydration status- an improvement from the severely dehydrated state.
The blood glucose levels is dropping indicating an improvement in the glycemic control
Correct Answer is D
Explanation
D. Limiting the time that visitors spend with the client is a reasonable precaution to reduce their overall radiation exposure. Prolonged exposure to radiation can increase the risk of adverse effects. By limiting visitors to a specific time frame, the nurse can help control their exposure while still allowing for social support and companionship.
A. Discarding radioactive materials in regular trash cans can pose significant risks to sanitation workers, the environment, and public health.
B. Proper disposal of soiled linens contaminated with radioactive materials is essential to prevent radiation exposure to others. Soiled linens should be handled and disposed of according to institutional protocols for managing radioactive waste.
C. Maintaining a safe distance from the client is an important radiation safety precaution. However, this alone may not be sufficient to ensure adequate protection, depending on the specific circumstances of the treatment and the level of radiation emitted by the sources.
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