For a client with a sudden severe hemorrhage, the nurse should:
A. Go for help
B. Drape the client
C. Apply direct pressure
D. Put on clean or sterile gloves
C
C. Apply direct pressure immediately. Hemostasis is maintained as supplies are prepared.
A. Seek assistance after pressure is applied.
B and D. If client's condition permits, perform hand hygiene, apply clean gloves, and provide privacy. Maintaining asepsis and privacy are considered only if time and severity of blood loss permit inclusion of these activities.
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A terminally ill patient has requested a "do not resuscitate" (DNR) order. The family of the patient is strongly opposed to the patient's request. What is the responsibility of the nurse?
A) Perform a "slow code" until a decision is made. B) Honor the request of the patient. C) Contact a lawyer to intervene. D) Terminate nursing care until the physician talks to the family.
The nurse caring for a client diagnosed with pleurisy auscultates the lungs for which of the following anticipated findings?
1. Friction rub heard in lower left anterior chest 2. Friction rub heard in dorsal upper left chest 3. Friction rub heard in middle left lobe 4. Rhonchi noted in the left bronchi
How does the procedure change when a nurse collects a midstream urine specimen from a woman versus a man?
1. Women should be taught to begin their stream before collecting the specimen. 2. Women would be provided with three antimicrobial wipes, whereas men would be provided with only one or two. 3. Men should be taught not to touch the inside of the collection container or the lid. 4. Men should be taught to fill the container no more than one-half to one-third full.
The nurse is taking care of a patient newly diagnosed with an anxiety disorder. Which process is most important in providing care to patients with anxiety disorders?
1. Review of the health care professional's orders for the patient 2. Acquisition of information from the patient's high school counselor 3. Assessment of the patient's response during the initial phase of treatment 4. Awareness of the nurse's own anxiety and how it may affect the patient's treatment