The nurse assists the provider during a colonoscopy. Which does the nurse implement to prevent transmission of potential pathogens during the procedure?
1. Sterilize working surfaces.
2. Close the procedure room door.
3. Sterilize the endoscope with gas.
4. Follow surgical aseptic principles.
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3. A colonoscopy is a clean procedure, but the endoscope must be sterilized between procedures to prevent transmission of potential pathogens to another client from the endoscope.
1. Because a colonoscopy is a clean procedure, a sterile field is not indicated. Never-theless, working surfaces are cleaned with an agency-approved agent between pro-cedures.
2. The procedure room door is closed during a colonoscopy to maintain client privacy and to provide a quiet environment while the client is medicated with conscious se-dation.
4. The nurse follows principles of medical asepsis during a colonoscopy. The bowel cannot be sterilized for the procedure; besides, removing the intestinal flora is unde-sirable for client health and well-being.
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The spinal cord–injured patient begins to have seizures, and the blood pressure rises rapidly to 210/160. Which of the following is the third indicator of the dreaded syndrome of auto-nomic dysreflexia?
1. Profuse vomiting 2. Hives on face and neck 3. Excessive urine output 4. Bradycardia
The pediatric nurse describes the effects of cystic fibrosis on the body systems to the parents of a child recently diagnosed with the disease. The nurse states that:
Select all answers that apply. A) cystic fibrosis causes the production of thick mucus that blocks exocrine glands and affects several body systems. B) the increased mucus production in the airways causes obstruction and stasis of fluid, providing a rich habitat for bacterial growth. C) in later childhood, the reproductive system is affected as ovarian ducts and the vas deferens may be occluded leading to infertility. D) the pancreatic ducts are often blocked by mucus, prohibiting the secretions of pancreatic enzymes necessary for the metabolism of food nutrients.
The nurse selects the nursing diagnosis of Enhanced readiness for spiritual well-being for a family. Which data cluster did the nurse use to support this diagnosis?
1. The family visits different congregations, the parents have been reflecting on their own spiritual upbringings, and the children are questioning rituals of their friends and friends' families. 2. The children attend Sunday school classes, one parent always attends services with the children, and the parents attempt interaction with congregational activities. 3. The grandparents go to weekly services and have formal interaction with clergy. 4. The children have attended private, religious schools, and the parents are involved in the school's activities.
Successful breastfeeding is most dependent on the:
a. mother's socioeconomic level. b. size of mother's breasts. c. mother's desire to breastfeed. d. birth weight of newborn.