You are delivering the head of a baby. You notice mucus in the nose and mouth. Which piece of equipment is the most critical at this time?
A) Gauze sponges
B) Clean towel
C) Bulb syringe
D) Sanitary napkins
Ans: C) Bulb syringe
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A nurse is cleansing the skin around the pin site of a client. Which of the following signs confirms the need to obtain a wound culture?
A) Numbness at the site B) Cool temperature at the site C) Swelling distal to the site D) Purulent drainage from the site
A client is receiving an antiemetic. The nurse identifies a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements. Which of the following would the nurse include in the client's plan of care? Select all that apply
A) Remove items with strong smells and odors. B) Use mouthwash or frequent oral rinses. C) Make the environment as pleasant as possible. D) Explain that the drug may change the color of the stool. E) Follow the medication with a small amount of water.
The nurse is aware that a 64-year-old man who has a concentration of Staphylococcus aureus located on his skin but is not showing signs of increased temperature, redness, or pain at the site is at which of the following stages?
A) Infection B) Colonization C) Disease D) Bacteremia
The most effective method of building rapport is to open the health interview with:
a. focusing on the problems that the patient sees as important. b. explaining the importance of health maintenance. c. informing the patient of the number of questions that will be asked. d. reassuring the patient that the interview is private.