The nurse teaches the client how to self-administer insulin, and determines further teaching is needed when the client states:
1. "I should rotate the site I use for injections."
2. "I should draw back on the plunger before injecting the insulin."
3. "I will clean the site using an antiseptic wipe, and rub in a circle."
4. "I should never inject insulin in an area with a bruise."
2
Rationale: Drawing back on the plunger is contraindicated for clients administering insulin because it causes tissue trauma. The other statements are correct.
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A client returns to the unit following abdominal surgery. The client has an order for Demerol IM PRN for severe pain or Tylenol #3 PO PRN for mild to moderate pain
The nurse asks the client whether she is experiencing pain now, and the client says, "Yes, I am." Which of these actions should the nurse take next? a. Administer Demerol, since the client is less than 24 hours postoperative. b. Administer Tylenol #3, and if pain is not relieved, administer Demerol. c. Assess the client further as to the location and degree of pain. d. Reposition the client, and suggest performing some relaxation exercises.
The PACU staff has brought a patient to the unit following a thyroidectomy. To promote comfort for this patient how would you position the patient?
A) Side-lying (lateral) with one pillow under the head B) Head of the bed elevated 30 degrees and no pillows placed under the head C) Semi-Fowler's with the head supported on two pillows D) Flat, with a small roll supporting the neck
When changing the client's abdominal dressing on the second postoperative day, the nurse notes crusting on about half of the suture line and oozing of a small amount of serosangui-neous drainage. What is the nurse's best action?
A. Clean the suture line gently and apply new dressings. B. Gently remove the crusts and culture the material beneath. C. Remove the sutures or staples in the area where crusts have formed. D. Apply a binder over the incision and notify the surgeon.
Before the advent of computer programs for qualitative analysis, the main procedure for managing qualitative data was the development of:
A) Conceptual files B) Core categories C) Memos D) Themes