When performing catheter care on a male patient,
A) cleanse from the shaft of the penis to the meatus.
B) cleanse from the meatus of the penis to the shaft.
C) cleanse the distal two inches of the penis only.
D) begin at the scrotum and wash up the shaft.
B
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The client who is scheduled to have a vertical laryngectomy asks a nurse what changes to expect in voice quality after the surgery. What is the nurse's best response?
A. "You will not be able to speak above a whisper." B. "Your permanent voice will be hoarse and breathy." C. "The removal of your larynx results in permanent loss of natural speech." D. "Speech will be absent immediately following surgery but will return to normal when all swelling has resolved, usually within 6 months."
The nurse assesses a patient with light skin and observes normally shaped nail beds exhibiting pallor and a slight bluish color. Which should the nurse implement?
a. Provide a warm heating pad. b. Collaborate with the healthcare provider. c. Assess patient oxygen saturation. d. Check for restricted venous return.
A nurse is caring for a client with paraplegia. Which would be most helpful to hold the blood for a blood transfusion for the client?
A) Side rail B) Trapeze C) Bed cradle D) An IV pole
A nurse recognizes which physiologic responses as a manifestation of pain in a neonate? (Select all that apply.)
a. Decreased respirations b. Diaphoresis c. Decreased SaO2 d. Decreased blood pressure e. Increased heart rate