A chronically ill, bedfast patient cared for in the home by family members has a stage II pressure ulcer over the coccyx. To prevent further tissue damage, the home care nurse instructs the family members that it is most important to

Provide the patient with a high-calorie, high-protein diet.

Change the patient's position every 2 hours, avoiding the supine position.

Change the patient's linen daily.

Record the size and appearance of the ulcer daily.

Answer and Explanation

The Correct Answer is B

A. While a high-calorie, high-protein diet is beneficial for wound healing, it is not the most critical factor in preventing further tissue damage.
B. Changing the patient's position every 2 hours is crucial to relieve pressure on the ulcer and prevent further tissue damage.
C. Changing the patient's linen daily is important for hygiene but does not directly prevent pressure ulcer progression.
D. Recording the size and appearance of the ulcer is important for monitoring, but preventing further damage through repositioning is more critical.

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Correct Answer is C

Explanation

A. Enteral administration involves the gastrointestinal tract, which has a slower absorption rate.
B. Topical administration involves absorption through the skin, which is also slower.
C. Intravenous (IV) administration delivers medication directly into the bloodstream, providing the fastest rate of absorption.
D. Intramuscular (IM) administration is faster than enteral and topical but slower than intravenous.

A. Expression of concern about the presence of amenorrhea and breast atrophy. B. Refusal to eat. C. Refusal to exercise. D. Binge gorging with purging by vomiting.

Correct Answer is D

Explanation

A. Concerns about amenorrhea and breast atrophy are more commonly associated with anorexia nervosa.
B. Refusal to eat is more characteristic of anorexia nervosa.
C. Refusal to exercise is not typically associated with bulimia nervosa.
D. Binge gorging with purging by vomiting is a hallmark behavior of bulimia nervosa, where individuals consume large amounts of food and then attempt to eliminate the excess calories through purging methods such as vomiting.

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A chronically ill, bedfast patient cared for in the home by family members has a stage II pressure ulcer over the coccyx. To prevent further tissue damage, the home care nurse instructs the family members that it is most important to

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a class about routes of medication administration. The nurse should include that which of the following routes has the fastest rate of absorption?

Correct Answer is C

Explanation

A behavior that the nurse would expect in a young woman with bulimia includes

Correct Answer is D

Explanation

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