In which position does the nurse place a female client for inserting a urinary catheter?
1. Prone
2. Supine
3. High-Fowler's
4. Dorsal recumbent
4
4. The nurse assists the female client to the dorsal recumbent position for insertion of a urinary catheter because by positioning the client on her back with the knees flexed, the nurse exposes the perineum adequately to visualize the urinary meatus and main-tain aseptic technique during the procedure.
1, 2, and 3. Positioning the client on her stomach, flat in bed, or sitting upright im-pairs the nurse's ability to expose the perineum, visualize the urinary meatus, maintain aseptic technique, and drain urine from the bladder.
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The nurse is implementing interventions to prevent physical stressors for a 9-year-old child receiving chemotherapy in the hospital. Which of the following is an example of using atraumatic care for this child?
A) Use restraint or "holding down" of the child during the procedure to prevent injury. B) Have the parent stand near and/or rub the child's feet during the procedure. C) Insert a saline lock if the child will require multiple doses of parenteral medications. D) Avoid using numbing techniques for multiple blood draws or IV insertion.
An older individual is touring an assisted living facility with his family in order to find a place to live after the death of his spouse and issues with mobility. Which characteristic of the facility is most in need of modification?
A) The temperature of common areas is kept between 75°F and 77°F B) Aromatherapy is used in the facility to provide a pleasant scent environment C) Area rugs are placed in front of each sink in residents' washrooms to ensure warmth D) There is more tile than carpet throughout the facility and carpets are glued to the floor
A male patient of African-American descent is prescribed hydralazine and isosorbide (BiDil) as treatment for heart failure. What should the nurse instruct the patient about this medication?
Select all that apply. 1. "Change positions slowly." 2. "Dizziness and fainting are expected adverse effects of this medication." 3. "You may have a headache when starting this medication, but it will subside." 4. "Notify the healthcare provider if you have chest pain while taking this medication." 5. "Do not take medications to treat erectile dysfunction while taking this medication."
A nurse is assessing a client who practices yoga for relaxation, is following a nutritionally sound diet, and has supportive, sound relationships with her spouse and children
According to Dunn's high-level wellness grid, this client would exemplify which of the following? A) Emergent high-level wellness in a favorable environment B) High-level wellness in a favorable environment C) Emergent high-level wellness in an unfavorable environment D) Protected health in a favorable environment