Which of the following techniques is standard care for promoting proper handwashing technique in a client with hepatitis A?
A)
Use approximately a teaspoon of soap.
B)
Clean the faucet after use.
C)
Hold the hands upward under the faucet.
D)
Allow the water to splatter forcibly when it is on.
A
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The nurse in an outpatient clinic obtains a blood pressure of 190/88 mm Hg on a patient diagnosed with high blood pressure. The patient tells the nurse, "My blood pressure medicine is really expensive
Do you think I really need it?" The nurse assumes the patient is not taking the medication based on the blood pressure result and the patient's statement and chooses noncompliance as a diagnostic label. The action by the nurse is an example of: a. clustering unrelated data in the diagnostic statement. b. selecting erroneous data for use in the diagnostic statement. c. using medical diagnoses in the diagnostic statement. d. identifying multiple problems within one diagnostic statement.
A patient who has just had her first postoperative dinner out to celebrate her recovery from an intestinal bypass is brought to the emergency room by her spouse
He reports that the patient seems disoriented and is slurring her words. The patient did not have any alcohol with her pasta dinner. Which of the following might be the cause of her symptoms? A) Ketoacidosis B) Lactic acidosis C) Hypercapnia D) Hypothalemia
Vascular disease disorders often require the use of elastic stockings. Which action should the nurse implement when caring for a patient with elastic stockings?
a. Apply the stockings and roll down the cuff. b. Remove the stockings for skin inspection two times a day. c. Remove the stockings when the patient is ambulating. d. Inspect the skin for pressure or irritation daily.
Which of the following would alert the nurse to suspect that a newborn has developed NEC?
A) Irritability B) Sunken abdomen C) Clay-colored stools D) Bilious vomiting