When providing perineal care, you should
A) protect the patient's privacy.
B) remove the top bedding to keep it dry.
C) offer the bedpan or urinal upon completion of the procedure.
D) change the soiled incontinent pad upon completion of the procedure.
A
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During a physical assessment of a 5-month-old child, the nurse observes the first tooth has just erupted and uses the opportunity to advise the mother to schedule a dental examination for her baby
Which of the following is the correct time for the dentist visit? A) By the first birthday B) By the second birthday C) By entry into kindergarten D) By entry into first grade
A woman delivered a 9-lb, 10-oz baby 1 hour ago. When you arrive to perform her 15-minute assessment, she tells you that she "feels all wet underneath
" You discover that both pads are completely saturated and that she is lying in a 6-inch-diameter puddle of blood. What is your first action? a. Call for help. b. Assess the fundus for firmness. c. Take her blood pressure. d. Check the perineum for lacerations.
Which patient care goals does the nurse prioritize during the acute phase of burn treatment? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Preventing infection 2. Preventing loss of body heat through the wounds 3. Securing and maintaining the airway 4. Splinting, positioning, and exercising affected joints 5. Providing for patient comfort
Following a traumatic birth of a 10-pound infant, the nurse should assess:
a. gestational age status. b. flexion of both upper extremities. c. infant's percentile on growth chart. d. blood sugar to detect hyperglycemia.