A Nurse Is Working with a Client Who Has a Diagnosis

question 23

Multiple Choice

A nurse is working with a client who has a diagnosis of "Impaired skin integrity, related to immobility, secondary to neurologic dysfunction". Of the following listed, which would be considered an observation intervention?

• A) Provide ongoing assessment for skin breakdown during every shift.
• B) Cushion bony prominences with soft foam while in bed.
• C) Turn and reposition client every two hours.
• D) Apply lotion to dry skin twice daily.

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Definitions:

Whatever Means

"Whatever means" refers to the use of any available methods or strategies to achieve a specific goal, often without specifying the nature of the methods.

Worker Participation

The involvement of employees in decision-making processes within their workplace, often through mechanisms like staff meetings, suggestion boxes, and joint committees.

Empowerment

The process of increasing the capacity of individuals or groups to make choices and transform those choices into desired actions and outcomes.

Mobilization

The process of assembling and preparing groups, resources, or individuals for action, especially in social, political, or labor contexts.