Beginning procedure actions include
A) documenting the procedure.
B) handwashing.
C) always applying gloves.
D) lowering the bed height.
B
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When an individual is "two-faced," which characteristic essential to the development of a therapeutic relationship should a nurse identify as missing?
1. Respect 2. Genuineness 3. Sympathy 4. Rapport
Determine which of the following nursing considerations has the highest priority for an elderly adult with dementia
A) Promoting therapy and activity B) Ensuring patient safety C) Providing physical care D) Respecting the individual
A nurse is preparing to administer a second infusion of trastuzumab [Herceptin] to a patient who has breast cancer. The patient tells the nurse that she experienced chills, fever, pain, and nausea after her first infusion. What will the nurse do?
a. Contact the provider to request a CBC to assess for neutropenia. b. Ensure that oxygen and respiratory sup-port measures are readily available. c. Reassure the patient that these symptoms will diminish with each infusion. d. Request an order for an electrocardiogram.
The nurse is concerned that an intubated patient is experiencing a cuff leak. Which assessment data would support the nurse's concern? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Increased temperature 2. The patient saying, "My neck hurts" 3. Edema of the upper extremities 4. A hissing sound heard over the trachea on expiration 5. Bubbling secretions at the corner of the patient's mouth