The nurse is administering a parenteral nutrition infusion to a patient. The nurse will implement which measures to prevent infection?
(Select all that apply.)
a. Change the intravenous tubing set every 72 hours.
b. Change the intravenous tubing set every time a new bag is added to the infusion.
c. Use a 1.2-micron filter with each tubing set.
d. Monitor the patient's temperature every shift during the infusion.
e. Report any increase in the patient's temperature over 100° F (37.8° C).
ANS: B, C, E
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After teaching a group of students about abuse and families, the instructor determines that the students need additional instruction when they state which of the following?
A) Women who accept battering are mentally ill. B) Those being battered have low self-esteem and a damaged spirit. C) Family violence occurs across all incomes. D) Domestic violence has no gender or sexual boundaries.
The nurse teaches parents to alert their health care provider about which adverse effect when a child receives valproic acid (Depakene) to control generalized seizures?
a. Weight loss b. Bruising c. Anorexia d. Drowsiness
What type of education would be appropriate for you to provide for Mrs Afualo and her family prior to her discharge?
A 60-year-old female patient, Mrs Teuila Afualo, presents at the day surgery unit (DSU) for an open repair of an umbilical hernia at 8 am. She is of Islander background and has brought several of her family members with her. On admission, you calculate her body mass index (BMI) to be 38, note that her respirations are shallow and rapid, and that she appears to be extremely anxious. Her medical history highlights that she has type 2 diabetes, which is managed with metformin, although she tells you that she has not been diligent about taking or recording her blood glucose level (BGL) regularly. She also informs you that a ‘couple of months ago' her GP prescribed tablets to treat her cholesterol and her blood pressure but she can't remember the names of them, and her son doesn't know them either. She has not taken any of these medications prior to her admission, her reason being that she was fasting. Her BP is 160/90 mmHg and her fasting BGL is found to be 12 mmol/L. You also identify that Mrs Afualo did not attend the preadmission clinic. She explains that she could not attend because her son was not available to drive her. Consequently, she has not had a preoperative chest X-ray (CXR) or any blood tests as per her surgeon's protocols. A check of Mrs Afualo's consent form in the presence of her son reveals it has not been signed and that she is somewhat confused about her intended surgery. What will be an ideal response?
The nurse is measuring a client's medication in a syringe. The prescribed amount is 1.275 mL. The syringe has markings of 1.2 mL, and 1.3 mL, but not 1.275 . Which of the following numbers is the significant figure in this example?
A) 1.2 mL B) 1.250 mL C) 1.275 mL D) 1.3 mL