The nurse notes that a narcotic is to be administered "per epidural cath." The nurse; however, does not know how to perform this procedure. Which aspect of the implementation process should be followed?

1. Seek assistance
2. Reassess the client
3. Use interpersonal skills
4. Critical decision making


ANS: 1
If a nurse does not know how to perform a procedure, he or she should seek assistance. Infor-mation about the procedure is obtained from the literature and the agency's procedure book. All equipment necessary for the procedure is collected. Finally, another nurse who has completed the procedure correctly and safely provides assistance and guidance. Reassessing the client is a par-tial assessment that may focus on one dimension of the client or on one system. Interpersonal skills are used to develop a trusting relationship, express a level of caring, and communicate clearly with the client, family, and health care team. Critical decision making is used when the nurse implements the care plan using the knowledge bases necessary for care planning and then completing the planned interventions most effectively.

Nursing

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What is the best advice the nurse can offer a parent concerned because her 2-year-old is very active and does not eat much?

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The atelectasis associated with ARDS may be managed or reversed by the use of

A) 100% FIO2 for the first 7 to 10 days. B) low tidal volumes. C) positive end expiratory pressure (PEEP). D) chest tubes.

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Data from four different research studies conducted at academic medical centers in each region of the United States demonstrated to a statistically significant level that axillary temperatures of infants were as reliable as rectal temperatures

when both were measured on the same infant. Which statement describes an implication that the most recent report of the four studies would appropriately include? Standard Text: Select all that apply. 1. Nurses should encourage health care providers to rely on axillary rather than rectal measurement of infants' temperatures. 2. Additional studies should be conducted to replicate the findings. 3. Nurse educators should teach undergraduate nursing students that axillary temperatures are as reliable as rectal temperatures for measuring the temperature of an infant. 4. Additional studies should be conducted to determine whether the same finding applies to comatose adults. 5. Additional studies should be conducted to determine whether the same finding applies to animals.

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The nurse is teaching a group of college students about correct condom use. Which of the following is the correct condom application technique?

A) Attach the condom prior to erection. B) A condom may be reused with the same partner if ejaculation has not occurred. C) Hand lotion is an acceptable form of lubricant. D) Hold the condom by the cuff upon withdrawal

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