The nurse, assisting a client with a sputum sample, should instruct the client to:
1. rinse the mouth with mouthwash before providing the sample.
2. raise sputum from the lungs.
3. provide sputum from the mouth.
4. include nasal drainage for the sample.
ANS: 2
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The nurse is investigating an area of practice in which no research evidence is available. What types of non-research information should the nurse consider? (Select all that apply.)
a. Performance improvement and risk management data b. International, national and local standards of care c. Study with pre- and post-test design d. Benchmarking e. Retrospective or concurrent chart reviews
What is the most important precaution to teach a patient who is prescribed a drug for insomnia?
a. "Avoid drinking fluids with caffeine before bedtime." b. "Rinse your mouth frequently with water or saline." c. "Avoid driving within 8 hours of taking this drug." d. "Do not take this drug for more than 1 week."
Health maintenance and promotion efforts for patients with severe and persistent mental illness should include education about the importance of regular:
a. home safety inspections b. monitoring of self-care abilities c. screening for cancer, hypertension, and diabetes d. determination of adequacy of a patient's support system
For care-planning purposes, the nurse must consider that a client who has abused alcohol and other illicit substance throughout her pregnancy is at high risk for:
1. A difficult labor and delivery 2. Having a normal, but underweight, infant 3. Delivering a baby with facial abnormalities and mental retardation 4. Having a child who will have hyperbilirubinemia and brain damage