A nurse caring for a patient with a fiber optic intracranial catheter notices that there is CSF leaking from the insertion site. What is the recommended intervention in this situation?
A) Apply a sterile dressing on the insertion site; notify the primary care provider if it does not stop.
B) Put on sterile gloves and cover the site with sterile gauze.
C) Notify the primary care provider immediately and follow institution policy.
D) Cleanse the area more frequently.
C
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The mother of a premature infant born at 32 weeks' gestation expresses the desire to breastfeed her child. An appropriate suggestion by the nurse would be:
1. "Mothers who cannot directly breastfeed should talk with and stroke their infants during gavage feedings, as this can help facilitate milk letdown." 2. "The letdown reflex is best initiated by having the baby suck at the breast." 3. "Pumping should be done no more than three times daily, making sure to empty each breast completely." 4. "You should begin pumping by six hours postpartum to ensure adequate milk production."
During the nurse's assessment of a clinic patient, the patient asks if it is important to read OTC medication instructions. The nurse Answer:
1. "It's alright if you don't read the instructions, because the drugs are safer." 2. "Chemicals in the product might pose a risk." 3. "There isn't much for you to read on these OTC product labels." 4. "Reading isn't important if the product is purchased from a pharmacy."
Pigmented, raised, warty lesions over the face and trunk should be assessed by an experienced practitioner who can distinguish:
a. cutaneous tags from lentigines. b. furuncles from folliculitis. c. sebaceous hyperplasia from eczema. d. seborrheic keratoses from actinic keratos-es.
Client's family members may be unable or unwilling to provide daily care because they
A) live far away. B) work outside of the home. C) are physically disabled. D) all of the above