Which nursing action would demonstrate medical asepsis?
1. Administering parenteral medications
2. Changing a dressing
3. Performing a urinary catheterization
4. Using personal protective equipment
Correct Answer: 4
Rationale 1: Administering parenteral medications requires surgical asepsis.
Rationale 2: Changing a dressing requires surgical asepsis.
Rationale 3: Performing a urinary catheterization requires surgical asepsis.
Rationale 4: Using personal protective equipment demonstrates medical asepsis.
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The nurse should recognize that a client who has gonorrheal urethritis should NOT be catheterized for what reason?
a. Inflammation in the infected tissue will increase. b. The infection could spread rapidly to the genital organs. c. Segmented bacteriologic localization cultures can be obtained. d. Voiding will flush the bacteria out of the urinary tract.
A nurse is assigned to a patient who has been a very close family friend for many years. What statement would be most appropriate for the nurse to maintain a therapeutic relationship under these circumstances?
a. "Don't worry about a thing. I will see that extra care is given to you on the other shifts, because you are my friend." b. "You may feel uncomfortable about my caring for you. Although everything that happens here is considered to be confi-dential, would you prefer another care-giver?" c. "This is a very busy unit, but I will make sure that you get lots of attention, and I will come back after my shift to help you." d. "I'm so sorry that you are hospitalized, but I will tell all my friends to take special care of you for me."
How should the nurse position the patient who is to have endotracheal suctioning?
a. supine c. high Fowler's b. Sims' d. side-lying
The nurse is preparing to provide wound care for her patient. She realizes that the most effective way to decrease the bacterial count on her hands is to wash her hands using:
a. soap and water only. b. a nonalcohol antiseptic alone. c. a 50% alcohol-based antiseptic alone. d. a 60% to 95% alcohol-based antiseptic alone.