The nurse is preparing a presentation on standard precautions. Which statement should the nurse include in the presentation?
1. Cut the needle off a syringe after using it to give a client an injection.
2. Dispose of blood-contaminated materials in a biohazard container.
3. Gloves should not be worn for client care unless body fluids are seen.
4. Wear a mask when in direct contact with all clients.
Correct Answer: 2
Rationale 1: Needles should never be cut, bent, or altered in any way, as this would place the health care provider at risk of being stuck.
Rationale 2: Disposal of blood-contaminated materials in a biohazard container is a standard precaution.
Rationale 3: Gloves should be worn when providing client care whether body secretions are seen or not.
Rationale 4: Masks need not be worn when giving routine direct client care unless the client's condition so warrants.
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When the nurse questions the order, the physician explains that African American males in this age range are likely to abuse drugs. What is the nurse's best response or action? A. Administer the medication as ordered. B. Assist the client to use additional pain relief measures, such as guided imagery and distraction. C. Explain to the client that the lower doses are better for him in the long run so that he will not build up a tolerance to the medication. D. Ask the physician to consult with the pain control specialist or sickle cell clinic to best meet this client's needs for pain relief.
Looking at the components of the educational program is:
1. Education evaluation 2. Educational product 3. Process evaluation 4. Ongoing evaluation
The most important risk factor for physical battering during pregnancy is being:
1. Abused before pregnancy 2. An adolescent 3. Caucasian 4. A substance abuser
Which parental statement at the end of a teaching session by the nurse indicates correct understanding of colostomy stoma care for the infant client?
1. "We will change the colostomy bag with each wet diaper." 2. "We will expect a moderate amount of bleeding after cleansing the area around the stoma." 3. "We will watch for skin irritation around the stoma." 4. "We will use adhesive enhancers when we change the bag."