A nursing student is instructed to remove a client's ear packing and instill eardrops. What action by the student requires intervention by the registered nurse?
a. Assessing the eardrum with an otoscope
b. Inserting a cotton ball in the ear after the drops
c. Warming the eardrops in water for 5 minutes
d. Washing the hands and removing the packing
ANS: D
The student should wash his or her hands, don gloves, and then remove the packing. The other actions are correct.
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A client is preparing to be discharged home after a lengthy admission to the cardiac care unit following a myocardial infarction. What action should the nurse prioritize when preparing to discharge the client?
A) Eliciting the client's feedback about the quality of care he received B) Ensuring that at least two friends or family members will pick up the client C) Providing the client with education about activity and medications D) Ensuring that each individual who provided care is informed about the impending discharge
The nurse caring in the intensive care unit suspects that one of her patients is experiencing sensory overload. Which findings would increase her suspicion? Select all that apply
a. Disorientation b. Restlessness c. Hallucinations d. Depression e. Preoccupation with somatic complaints
A nursing instructor educates a class of student nurses about informational continuity. The nursing instructor lists which of the following as characteristics of informational continuity? (Select all that apply.)
a. It allows for the same client information to be available to providers throughout the health care system. b. It allows for specific information to follow the client from primary to secondary care settings, but not vice versa. c. It promotes interrupted flow of data and clinical impressions between health care providers and agencies. d. Its purpose is to provide continuously coordinated, high-quality care. e. It refers to data exchanges among providers and provider systems and between providers and clients.
A nurse is providing passive range of motion (ROM) for a patient with impaired mobility. Which technique will the nurse use for each movement?
a. Each movement is repeated 5 times by the patient. b. Each movement is performed until the patient experiences pain. c. Each movement is completed quickly and smoothly by the nurse. d. Each movement is moved just to the point of resistance by the nurse.