When taking a rectal temperature with a glass thermometer,
A) lubricate and insert the bulb 2 inches into the rectum.
B) hold the thermometer in place with your hand.
C) leave the thermometer in place for 1 to 2 minutes.
D) apply the principles of transmission-based precautions.
B
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You are the nurse caring for a postsurgical patient who is Asian-American who speaks very little English. How should you most accurately assess this patient's pain?
A) Use a chart with English on one side of the page and the patient's native language on the other so he can rate his pain. B) Ask the patient to write down a number according to the 0-to-10 point pain scale. C) Use the Visual Analog Scale (VAS). D) Use the services of a translator each time you assess the patient so you can document the patient's pain rating.
During the process of communication, a chain of events occurs as soon as the message is sent. Steps in this chain include transmission, perception, and evaluation
Place these steps in proper chronological order. (Separate letters by a comma and space as follows: A, B, C.) A. Transmission B. Perception C. Evaluation
What nursing action should the nurse perform when caring for a patient undergoing diagnostic testing of the renal-urologic system?
A) Withhold medications until 12 hours post-testing. B) Ensure that the patient knows the importance of temporary fluid restriction after testing. C) Inform the patient of his or her medical diagnosis after reviewing the results. D) Assess the patient's understanding of the test results after their completion.
Which patients would the nurse monitor most closely for the development of hypercalcemia? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. A patient with a malignancy 2. A patient taking lithium 3. A patient who uses sunscreen to excess 4. A patient with hyperparathyroidism 5. A patient on complete bed rest