Guidelines for Standard Precautions indicate that a mask and eye protection or a face mask should be worn while performing:
A. Suture removal
B. Trachea care and suctioning
C. Wet-to-dry dressing changes
D. Patient bathing
B. Trachea care and suctioning
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When asking a patient if he can postpone urination for two hours, the nurse is assessing for
a. urinary retention c. diurnal voiding habits b. urinary incontinence d. nocturia
The patient in the prenatal clinic tells the nurse that she is sure she is pregnant because she has not had a menstrual cycle for 3 months, and her breasts are getting bigger. What response by the nurse is best?
1. "Lack of menses and breast enlargement are presumptive signs of pregnancy.". 2. "The changes you are describing are definitely indicators that you are pregnant.". 3. "Lack of menses can be caused by many things. We need to do a pregnancy test.". 4. "You're probably not pregnant, but we can check it out if you like.".
Small bowel obstruction is a condition characterized by which finding?
A) Severe fluid and electrolyte imbalances. B) Metabolic acidosis. C) Ribbon-like stools. D) Intermittent lower abdominal cramping.
Finally, you finish the shift in the postanesthesia care unit (PACU). In which order will you take these actions when caring for patients who have been transferred to the PACU from the operating room after receiving general anesthesia?
A. Obtain blood pressure and heart rate. B. Monitor incisions for bleeding or swelling. C. Check O2 saturation with a pulse oximeter. D. Assess the level of consciousness.