A patient diagnosed with a stasis ulcer has been hospitalized on your unit. You have orders to change the dressing and provide wound care. Which activity should you perform first?
A) Assess the drainage in the dressing.
B) Slowly remove the soiled dressing.
C) Wash hands thoroughly.
D) Put on latex gloves.
Ans: C
Feedback: The nurse and physician must adhere to standard precautions and wear gloves when inspecting the skin or changing a dressing. Use of standard precautions and proper disposal of any contaminated dressing is carried out according to Occupational Safety and Health Administration (OSHA) regulations. Whenever going to care for a patient, the first thing the nurse must do is wash her hands. Putting on gloves, removing the dressing, and observing the drainage are all parts of performing a dressing change after handwashing is completed.
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The nurse is taking the pulse of an adult patient and finds that the patient's heart rate is 48 . He knows that this is considered:
a. tachycardia. b. bradycardia. c. a normal heart rate for an infant. d. a normal heart rate for an adult.
Which of the following dairy products meets the legal definition of low fat?
1. Whole milk, with 8 g of fat per cup 2. 2% milk, with 5 g of fat per cup 3. 1% milk, with 3 g of fat per cup 4. Sour cream, with 6 g of fat per 2 tablespoonfuls
Which nursing action maintains confidentiality when performing height and weight measurements during a co-ed physical education class?
1. Having a student worker record the screening findings on the appropriate adolescent's record 2. Having a volunteer weigh and measure the adolescents and verbally give the findings to the nurse to calculate the body mass index and record 3. Providing a privacy screen and have the health aid record the findings directly on the record. The nurse will then calculate body mass index 4. Using a buddy system with the students, having the students measure each other and record the findings.
Which change is easier to make?
A) Personal behavior B) Group behavior C) Group knowledge D) Personal attitudes