Which nursing actions indicate that a nurse has developed a "surgical conscience"? Select all that apply
1. The nurse stops a surgeon who has contaminated an instrument before it is used on the patient.
2. The nurse discards a urinary catheter kit because the catheter is the wrong size.
3. The nurse uses an instrument from a sterile package that became outdated yesterday.
4. The nurse changes gloves when a possible contamination occurs.
5. The nurse, working alone, touches the inside of a sterile package with ungloved hands but does not discard the contents.
1,4
Rationale 1: A surgical conscience mandates the reporting of breaks in sterile technique.
Rationale 2: Surgical conscience relates to the sterile field.
Rationale 3: The nurse should not use outdated sterile packages.
Rationale 4: The nurse who has a surgical conscience will act to protect the sterile field even if the breach is not certain.
Rationale 5: Surgical conscience means that the nurse maintains the sterile field even if no one else sees the breach of sterility.
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Which of the following best describes the approach to health care used by states?
a. Federal funding encourages experimentation in creating new programs. b. Insurance regulations concerning reimbursement cross state lines. c. Information about successful programs is known to legislators. d. States frequently develop new programs as federal funds become available to pay for them.
Which of the following statements about race is true?
a. In the United States, children of biracial parents are usually assigned the race of the father. b. Ethnicity and race are synonymous terms. c. Individuals may be of the same race but of different cultures. d. No social significance is usually placed on race.
When preparing to cool a patient who is to begin therapeutic hypothermia, which intervention will the nurse plan to do (select all that apply)?
a. Assist with endotracheal intubation. b. Insert an indwelling urinary catheter. c. Begin continuous cardiac monitoring. d. Obtain an order to restrain the patient. e. Prepare to give sympathomimetic drugs.
A client post-acute myocardial infarction asks the nurse why they are prescribed reteplase (Retavase) intravenously (IV). Which response should the nurse provide the client?
A. "The prescription dilates the arteries in the heart so it can get more oxygen." B. "The prescription is dissolving the clot that has caused your heart attack." C. "The prescription thins your blood so more clots will not develop." D. "The prescription will increase the strength of the muscles in the heart during each beat."