When bathing a patient who has a catheter, you should
A) remove the catheter prior to bathing.
B) keep the catheter bag at the same level as the patient's bladder.
C) hook the catheter bag to an IV pole.
D) delay providing perineal care until the catheter is removed.
B
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A client has a traumatic brain injury and a positive halo sign. The client is in the intensive care unit, sedated and on a ventilator, and is in critical but stable condition. What collaborative problem takes priority at this time?
a. Inability to communicate b. Nutritional deficit c. Risk for acquiring an infection d. Risk for skin breakdown
One of the five caring processes described by Swanson (1991) is knowing the patient. The concept comprises both a nurse's understanding of a specific patient and subsequent selection of interventions
To become adept at knowing patients early, what should the nurse do? a. Check on patients at irregular times so they do not get used to a routine. b. Depend on other nurses' assessments to evaluate your own. c. Assume that your interventions are effective because they have been ordered. d. Reflect about your patient interactions and evaluations.
The nurse is assigned to perform telephone triage for the clinic and receives a call from a young mother whose 6-month-old baby received her third diphtheria–pertussis–tetanus immunization that morning
The mother reports the baby's temperature is 99.8° axillary, the site of injection is "a little red," and the baby is irritable. After checking the standing orders provided by the pediatrician, what teaching would the nurse provide this mother? (Select all that apply.) A) "These are common adverse effects reported after immunizations." B) "Bring the baby back to the clinic for an examination." C) "Apply a warm moist compress to the baby's leg." D) "Aspirin can be given to manage fever symptoms." E) "Symptoms should subside within 2 to 3 days."
If laryngeal trauma causes the tissues surrounding the larynx to greatly swell, the client will exhibit __________ a high-pitched, harsh sound during respiration, indicative of airway obstruction
Fill in the blank(s) with correct word