A patient who was admitted with possible septicemia has orders to draw blood cultures. The nurse has correctly drawn blood cultures when
1. Blood is collected in two separate bottles, one aerobic and the other anaerobic, while the patient's temperature is spiked.
2. Blood cultures are drawn on admission to the unit and again when febrile.
3. Two lavender collection tubes of blood have been collected while the patient's temperature is elevated above 101°F.
4. The patient's blood cultures have been collected using either two anaerobic bottles or two aerobic culture bottles.
ANS: 1
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A client is advised a douche to clear vaginal drainage following the repair of a vesicovaginal fistula. Before giving the douche, the nurse observes that the drainage is serosanguineous. Which action should the nurse take?
A) Inform the physician immediately. B) Record it as a normal finding. C) Obtain a specimen for C&S. D) Advise daily bathing and frequent perineal hygiene.
During an assessment of the eye, the optic nerve can be evaluated by:
1. Direct ophthalmoscope examination. 2. Using dilation eyedrops. 3. Shining a pen light into the eye. 4. A tonometer.
The nurse is caring for a child who is dying. What is the most important communication strategy for the nurse to use at this time?
1. Talk to the child at the appropriate level of understanding. 2. Be totally open and honest with the child. 3. Avoid discussing death with the child. 4. Encourage the family to talk with the child about the impending death.
Over the past few centuries, nurses have placed less attention on spiritual care primarily because:
a. Nurses providing care are less religious and spiritual now b. Spirituality and religion are unproven with regard to influencing health c. Greater emphasis has been placed on science and scientific evidence d. Nurses are uncomfortable when discussing spiritual aspects of care