A nurse assesses a patient's dorsalis pedis pulse. If the pulse is difficult to feel and not palpable when only slight pressure is applied, the nurse should document this finding as a:
a. weak pulse.
b. normal pulse.
c. thready pulse.
d. bounding pulse.
C
A thready pulse is difficult to feel and is not palpable when only slight pressure is applied. A weak pulse is somewhat stronger than a thready pulse but not palpable when light pressure is applied. A normal pulse is easily felt but not palpable when moderate pressure is applied. A bounding pulse feels full and springlike even under moderate pressure.
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Regarding perineal care, which nursing action is appropriate? (Select all that apply.)
a. The nurse applies gloves prior to performing perineal care b. The nurse ignores the erection of a male patient during perineal care c. The nurse documents the perineal care. d. The nurse only completes perineal care with daily bathing
Qualitative researchers begin with a formal research question and then develop hypotheses to be tested while in the field
A) True B) False
The nurse manager is concerned that a staff nurse's care demonstrates gross negligence. What actions did the manager use to make this determination?
1. Removed a client's central line 2. Reconnected contaminated intravenous tubing to a client 3. Accessed the computerized documentation system with a password 4. Walked a client with a blood pressure of 70/58 mm Hg to the bathroom 5. Delegated nasotracheal suctioning for a client to unlicensed assistive personnel
The nurse who is monitoring an IV site for a client receiving normal saline watches out for the signs and symptoms of infiltration. Which of the following is a sign of this adverse condition?
A) Swelling B) Skin hot to the touch C) Feeling of softness in the area D) No fluid evident around the catheter