In teaching the patient how to perform intermittent self-catheterization, the nurse instructs which of the following?
a. Only strict aseptic technique should be used.
b. All hospitals use strict aseptic technique.
c. Clean intermittent self-catheterization increases the chance for infection.
d. Clean intermittent self-catheterization is a safe and effective method.
D
Clean intermittent self-catheterization (CISC) is a safe and effective way to empty the bladder. Current practice supports CISC for use in the home to provide a means to completely empty the bladder, prevent urinary tract infection, and prevent further bladder and kidney damage. Today, some hospital policies recommend sterile technique; others recommend clean technique.
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Which of the following is the most obvious finding during a physical assessment of a client with hypertension?
A) Sustained increase of either one or both systolic or diastolic measurements B) Hypotension in either one or both systolic or diastolic measurements C) Client is underweight D) Client is anemic
When comparing the anterior and posterior fontanelles of a newborn, the nurse knows that both are what?
1. Both are approximately the same size 2. Both close within 12 months of birth 3. Both are used in labor to identify station 4. Both allow for assessing the status of the newborn after birth
A school nurse is implementing a program to promote psychosocial development among adolescent teens at a high school. Which activity should the nurse include?
1. Career planning 2. Establishing peer groups 3. Playing musical instruments 4. Determining a value system
Your patient with major depression sits in her room for hours staring out the window. Which of the following would be the most appropriate intervention?
A. Sit with the patient and gently offer your availability to help. B. Keep encouraging the patient to go to exercise class. C. Offer the class once and then let the patient decide. D. Sit with the patient and ask her to list reasons for her depression.