The nurse assists the healthcare provider during the insertion of a central venous catheter. Which is the most effective intervention for the nurse to implement to prevent patient infection?
a. Adhere to the principles of surgical asep-sis.
b. Close the door of the sterile procedure room.
c. Sterilize working surfaces for the proce-dure.
d. Restrict foot traffic into the sterile proce-dure room.
A
Adhering to principles of surgical asepsis is the best method of preventing an infection during a sterile procedure because it is the most comprehensive step. The remaining options are proper actions for the nurse who is adhering to the principles of the surgical asepsis.
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A patient who arrives in the emergency department complaining of squeezing substernal pain that radiates to the left shoulder and jaw also complains of nausea, diaphoresis, and shortness of breath. What should the nurse do?
A) Complete the patient's registration information, perform an electrocardiogram, gain IV access, and take vital signs. B) Alert the cardiac catheterization team, administer oxygen, attach a cardiac monitor, and notify the physician. C) Gain IV access, give sublingual nitroglycerin, and alert the cardiac catheterization team. D) Administer oxygen, attach a cardiac monitor, take vital signs, and administer sublingual nitroglycerin.
Which defining characteristics support the nursing diagnosis of impaired verbal communication? (Select all that apply.)
a. Aphasia b. Geriatric patients c. Profoundly deaf d. Legally blind e. Severe COPD
A client in the PACU with an endotracheal tube should be placed in which position by the nurse?
a. Supine b. Side-lying c. High Fowler's d. Trendelenburg
The nurse is preparing to dress an open, shallow wound with a moderate amount of drainage. Nursing care is correct if the nurse chooses which dressing material?
a. Alginate nonwoven b. Adhesive membrane c. Hydrocolloid adhesive d. Foam nonadherent pad