A nurse is required to document certain information after catheterization. Which
information must be documented?
A) Size and type of catheter inserted
B) Adhesive tape used to anchor the tubing to the thigh
C) The position of the client for catheter insertion
D) The type of water soluble lubricant used prior to insertion
A
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A student nurse was discussing the subject of incident reports. All of the statements made by the student were accurate until she said:
1. "Incident reports are to be completed in the event of an unusual occurrence or an accident." 2. "An incident report should be completed according to agency policy, including notification of the supervisor and designated personnel." 3. "A copy of the incident report should be filed as part of the involved patient's chart." 4. "An incident report should include what happened, who was involved, witnesses to the event, and treatment provided."
A patient is to continue taking sustained-released benzodiazepines at home. A nurse has provided patient education about the medication. Which statement made by the patient demonstrates the need for further teaching?
a. "I can take my medicine with food to reduce stomach upset." b. "I should take two pills if I miss a dose." c. "I should not crush or chew my pills." d. "I should try not to drive if I am sleepy during the day."
The nurse is caring for a newborn infant whose mother is HBsAg-negative. The nurse expects to give the infant
a. hepatitis B immune globulin. b. hepatitis B immune globulin and hepatitis B vaccine 12 hours later. c. no vaccine. d. recombinant hepatitis B vaccine.
Which condition should the nurse be concerned about for a client prescribed fluticasone (Flonase)?
A. Diabetes mellitus B. Pregnancy C. Glaucoma D. Hypertension