The nurse is preparing a continuous intravenous (IV) infusion at the medication cart. As the nurse prepares to attach the distal end of the IV tubing to a needleless device, the tubing drops and hits the top of the medication cart
Which of the following is the appropriate action by the nurse? 1. Change the IV tubing.
2. Attach a new needleless device.
3. Wipe the tubing port with Betadine.
4. Scrub the needleless device with an alcohol swab.
1
Rationale: The nurse should change the IV tubing because it has become contaminated and could cause systemic infection to the client. Wiping the port with Betadine is insufficient and would be contraindicated in any case, because the tubing will be attached directly to an angio-catheter in the client's vein. The needleless device has not been contaminated and does not need replacement or cleansing.
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a. Available health systems b. Available colleges and schools c. Geographical boundaries d. Predominant religious groups
For the patient with a hiatal hernia, the nurse recommends avoidance of fats because fats:
a. relax the sphincter, allowing reflux. b. may cause nausea and vomiting. c. cause hypermobility of the colon. d. may initiate the strangulation of the her-nia.
A shift in the psychiatric nursing focus during the community mental health period of the 1960s resulted in
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The nurse is working with a 3-year-old child in Bryant's traction for a fractured femur. A pain assessment scale such as the Oucher Scale can be useful to the nurse caring for this child because use of a pain assessment scale
1. provides continuity and consistencyin assessing and monitoring the child's pain. 2. decreases anxiety in the child. 3. increases the child's comfort level. 4. reduces the child's fear of painfulprocedures.