A client is being transferred to a room from the postanesthesia care unit. Upon transfer, the nurse should:
A. Remove the indwelling urinary catheter
B. Attach the nasogastric tube to suction
C. Use a black pen to note the drainage on the dressing
D. Change the dressing immediately when the client reaches the room
C
C. Mark dressing with circle around drainage using a black pen. Never use felt tip marker to mark dressing because ink can bleed into gauze, contaminating incision site.
A and B. Once client is transferred to bed, immediately attach any existing oxygen tubing, hang IV fluids, check IV flow rate, attach NG tube to suction, and place indwelling catheter in drainage position.
D. Reinforce pressure dressing or change simple dressing as ordered and needed.
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Following genetic testing and a thorough history from the child's mother and father, a 5-month-old boy has been diagnosed with osteogenesis imperfecta. What teaching point should the care team provide to the mother and father?
A) "His skeleton is prone to breakage, and we'll begin hormone therapy to treat this." B) "His hips are extremely susceptible to dislocation, so rough play is out of the question." C) "You'll need to commit to calcium supplementation for the duration of his development." D) "You'll need to be very careful to avoid causing fractures to his fragile bones."
An 82-year-old man is admitted to a medical-surgical unit for diagnostic confirmation and management of suspected delirium. Which statement by the patient's daughter best supports the diagnosis?
1. "Dad has always been so independent. He's lived alone for years since my mom died." 2. "Dad just hasn't seemed to know what he's been doing lately. He has been very forgetful these last few months." 3. "Maybe it's just caused by aging. This usually happens by age 82." 4. "The changes in his behavior came on so quickly. I wasn't sure what was happening."
The nurse is using inspection to assess the breasts of a female client. Which of the following findings might the nurse obtain using this assessment technique?
1. Symmetry 2. Hard nodules 3. Tenderness 4. Skin consistency
Blake and Mouton's research identified
a. How leaders combine concern for results and concern for people b. How task and relationship behaviors are part of one continuum c. How task and relationship behaviors are on two separate continua d. How opportunism as a behavior style focuses on followers roles