What instructions are appropriate for the nurse to include when teaching a client ways to prevent "swimmer's ear"?
1. Use of glucocorticoid drops to prevent inflammation
2. Application of 2% acetic acid to the ear canal after swimming
3. Gently cleaning the ear canal with a swab to remove water or debris
4. Use of earwax-dissolving agents to help prevent irritation
2
Rationale 1:Use of glucocorticoids can cause ear damage if used for long periods.
Rationale 2: Applying 2% acetic acid to the ear canal after swimming acts as a drying agent and restores the ear canal to its normal acidic condition.
Rationale 3: The client should use a bulb syringe for removing debris rather than placing objects like cotton swabs in the ear canal.
Rationale 4: Use of earwax-dissolving agents ishelpful in keeping the ear canal free from excess cerumen but does not aid in preventing "swimmer's ear."
Global Rationale: Applying 2% acetic acid to the ear canal after swimming acts as a drying agent and restores the ear canal to its normal acidic condition.
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The nurse keeps in mind that a thorough skin assessment is extremely important because the skin holds information about a person's:
a. Support systems. b. Circulatory status. c. Socioeconomic status. d. Psychological wellness.
Which scenarios would the nurse identify as a quasi-intentional tort rather than an intentional tort?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. A visitor refuses to leave the patient's room after upsetting the patient and being asked to leave. 2. The physician accuses the nurse of incompetence in front of the patient's family. 3. The nurse tells the patient that if he does not starting drinking fluids, an intravenous line will be necessary. 4. The nurse physically restrains a patient so that intravenous access can be obtained. 5. The nursing student takes a cellphone picture of a patient's leg wound to show her classmates.
Nursing assistive personnel (NAP) are part of the patient care team. Which aspect of obtaining health information can the nurse delegate to NAP?
a. Auscultate apical pulse of a patient with acute angina. b. Take vital signs of a patient who might be discharged. c. Complete lung assessment of a patient with pneumonia. d. Clarify effects of antihypertensive therapy for a patient.
The nurse is using the SBAR communication tool to communicate with a healthcare provider. Which statement should the nurse use to communicate the background?
A. "I would suggest decreasing the dosage of the medication." B. "The client's mental status is confused." C. "I am calling about Mr. X's blood pressure." D. "I think that the client's medication has caused the confusion."