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A nurse is providing care for a client with a halo device. The client has developed skin breakdown and irritation around the pin sites. Which intervention is most appropriate for the nurse to implement to prevent further skin complications?

Ensure that the vest supporting the halo device is snug and properly aligned.

Apply a thick layer of zinc oxide cream around the pin sites.

Pad the areas of skin breakdown with foam dressing to reduce friction and pressure.

Loosen the halo device to reduce pressure on the skin.

Answer and Explanation

The Correct Answer is C

A. While ensuring proper alignment is important, it does not address the existing skin breakdown and irritation.

B. Applying zinc oxide cream may not be appropriate as it can trap moisture, potentially worsening the skin condition around pin sites.

C. Padding the areas of skin breakdown with foam dressing is an appropriate intervention as it can provide cushioning, reduce friction, and protect the skin from further injury.

D. Loosening the halo device could compromise the stabilization it provides and may not effectively address skin integrity issues.

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A. Bradycardia B. Bounding peripheral pulses C. Urine specific gravity 1.002 D. Normal urine output

Correct Answer is C

Explanation

A. Bradycardia is not a common finding in diabetes insipidus; rather, patients may experience tachycardia due to volume depletion.

B. Bounding peripheral pulses may occur in conditions with fluid overload, which is not typical in diabetes insipidus where there is a lack of fluid retention.

C. Urine specific gravity of 1.002 indicates dilute urine, which is consistent with diabetes insipidus, where the body fails to concentrate urine due to insufficient antidiuretic hormone (ADH).

D. Clients with diabetes insipidus typically experience polyuria, resulting in increased urine output rather than normal levels

A. "The medication causes the pupil to constrict and will lower the pressure in the eye." B. "The medication will help dilate the eye to prevent pressure from occurring." C. "The medication will relax the muscles of the eyes and prevent blurred vision." D. "The medication will help block the responses that are sent to the muscles in the eye."

Correct Answer is A

Explanation

A. Miotic medications work by constricting the pupil, which opens the trabecular meshwork and facilitates the drainage of aqueous humor, thus lowering intraocular pressure in clients with glaucoma.

B. Miotics do not dilate the pupil; they constrict it. Dilation would actually increase intraocular pressure, which is not therapeutic in glaucoma.

C. While these medications do affect eye muscles, they do not specifically prevent blurred vision; their primary effect is on eye pressure.

D. Miotics do not block nerve responses; they work by direct action on the eye muscles to promote fluid drainage and reduce pressure.

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A nurse is providing care for a client with a halo device. The client has developed skin breakdown and irritation around the pin sites. Which intervention is most appropriate for the nurse to implement to prevent further skin complications?

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Correct Answer is C

Explanation

Correct Answer is A

Explanation

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Take full exam for free A nurse is providing care for a client with a halo device. The client has developed skin breakdown and irritation around the pin sites. Which intervention is most appropriate for the nurse to implement to prevent further skin complications?

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A nurse is providing care for a client with a halo device. The client has developed skin breakdown and irritation around the pin sites. Which intervention is most appropriate for the nurse to implement to prevent further skin complications?