When assisting with wound care, always use
A. standard precautions.
B. universal precautions.
C. droplet precautions.
D. contact precautions.
Answer: A
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You are the nurse caring for a patient who is scheduled to have a thoracotomy. You are planning to provide preoperative teaching and know to share what information with the patient?
A) How to milk the chest tubing B) How to splint the incision when coughing C) How to care for the wound D) How to recognize signs of respiratory distress
The nurse has received a report about a woman in labor. The woman's last vaginal ex-amination was recorded as 3 cm, 30%, and -2 . The nurse's interpretation of this assess-ment is that:
a. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm above the ischial spines. b. The cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines. c. The cervix is effaced 3 cm, it is dilated 30%, and the presenting part is 2 cm be-low the ischial spines. d. The cervix is dilated 3 cm, it is effaced 30%, and the presenting part is 2 cm be-low the ischial spines.
The nurse is having a conversation with an adolescent regarding the need for sleep. The adolescent states that it is common to stay up with friends several nights a week. Which action should the nurse take next?
a. Talk with the adolescent's parent about staying up with friends and the need for sleep. b. Discuss with the adolescent sleep needs and the effects of excessive daytime sleepiness. c. Refer the adolescent for counseling about alcohol abuse problems. d. Take no action for this normal occurrence.
A volunteer at the senior center asks the visiting nurse why the senior citizens always seem to be complaining about the temperature. What is the nurse's best response?
a. Older people have a diminished ability to regulate body temperature because of active sweat glands. b. Older people have a diminished ability to regulate body temperature because of increased circulation. c. Older people have a diminished ability to regulate body temperature because of peripheral vasoconstriction. d. Older people have a diminished ability to regulate body temperature because of slower metabolic rates.