When performing catheter care on a female patient,
A) wipe from front to back.
B) wipe from back to front.
C) scrub back and forth.
D) wash up and down each side.
A
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An increased risk of falls is dangerous for any patient. What patient would be at an increased risk of falls?
A) A patient with a hearing loss of 45 dB B) A patient with acute otitis media C) A patient with vertigo D) A patient with damage to the eighth cranial nerve
To provide the best care to a client having pain, the nurse must assess which information in addition to using a pain measuring scale?
a. A record of any healing taking place in damaged tissue b. Objective measurements of the tissue damage c. The client's perception of the pain d. The type of pain fibers conducting the pain
A patient with an open abdominal wound has a complete blood cell (CBC) count and differential, which indicate an increase in white blood cells (WBC)s and a shift to the left. The nurse anticipates that the next action will be to:
a) Obtain wound cultures b) start antibiotic c) Reddress the wound with wet-to-dry dressing d) Continue to monitor the wound for purulent drainage
The nurse is caring for a patient with an incision. Which of the following actions would best indicate an understanding of medical and surgical asepsis?
a. Donning sterile gown and gloves to remove the wound dressing b. Utilizing clean gloves to remove the dressing and sterile supplies for the new dressing c. Donning clean goggles, gown, and gloves to dress the wound d. Utilizing clean gloves to remove the dressing and clean supplies for the new dressing