When changing linens, you must follow:
a. The material safety data sheet
b. Standard Precautions and the Bloodborne Pathogen Standard.
c. Standard Precautions and Transmis-sion-Based Precautions.
d. OBRA and OSHA standards.
B
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The nurse is positioning a patient who is to have a lumbar puncture performed. What position is appropriate for this diagnostic test?
a. prone b. supine c. semi-Fowler's d. side-lying with knees drawn up to chest
The nurse is preparing a client who is undergoing ERCP to facilitate the passage of stones in the common bile duct. Which of the following is a teaching point for this client?
A) Tell the client that the procedure will be performed under general anesthesia. B) Tell the client that oxygen will be given because the endoscope will hinder breathing. C) Tell the client to avoid aspirin, ibuprofen, or anticoagulants 5 to 7 days before the test. D) Tell the client that the procedure will take 1 to 2 hours to perform.
A teenage patient tells the nurse that she is being abused by her boyfriend but she doesn't want her parents to know because they won't let her see him any longer. What is the best response by the nurse?
A) "It's my responsibility to tell your parents if you are in danger." B) "I understand your fear, but I am obligated to be sure your parents know you are in danger. Would you like for us to talk to them together?" C) "I won't tell them this time, but I must inform you that legally I must inform your parents if abuse is occurring. Next time it happens I will have to tell them." D) "You need to tell them because the abuse isn't going to get any better. It will only escalate no matter what your boyfriend says."
Identify the most common adverse effects of phenytoin (Dilantin).
A. Skin rashes, hirsutism, and gingival hyperplasia B. Visual disturbances and postural imbalance C. Dizziness and ataxia D. All of the above