Which does the nurse implement to maintain optimal suction in the client's Hemovac drain?
1. Replace the Hemovac drain when full.
2. Attach the tubing to the client's gown.
3. Measure Hemovac drainage when full.
4. Apply low intermittent suction to plug.
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3. To maintain the gentle suction designed into the Hemovac drainage system, the nurse empties the drainage into a measuring cup, compresses the Hemovac on a firm, flat surface, and reinserts the plug into its opening on the Hemovac.
1. The Hemovac is an integral unit, and the surgeon places the drain in surgery. Postoperatively, the unit is removable but not replaceable.
2. The nurse attaches the Hemovac container to the client's gown for activity; if the nurse at-taches the tubing, the weight of the Hemovac creates excessive tension on the tubing and in-creases the risk of accidental removal.
4. The nurse never applies suction to a Hemovac.
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A nurse notes that when an infant is startled, she looks at her mother. What conclusion can the nurse make about this infant's development?
A. The child is slow to adapt and is distressed over small changes. B. The developmental needs of the child are not being met. C. The infant can develop other relationships because he is secure. D. The infant has an unstable home environment and is insecure.
The transplant team works to decrease the number of posttransplant infections due to iatrogenic causes. Which nursing intervention would support this goal?
1. Maintaining strict sterile technique with all invasive procedures 2. Teaching the patient to restrict the number of visitors after returning home 3. Identifying potential source of infection from patient history 4. Assisting with careful screening of donors
Which lymph nodes are located in the inguinal area?
1) Pectoral nodes 2) Horizontal nodes 3) Subclavian nodes 4) Suprascapular nodes
During resuscitation of a 5-year-old child, the provider requests an intravenous dose of 1 mL of epinephrine to be given STAT. The nurse will perform which action?
a. Ask the provider to clarify the dose and the concentration. b. Draw up the dose and give it as a rapid intravenous bolus. c. Give the dose as a slow intravenous bolus and monitor vital signs. d. Request an order to give the dose via endotracheal tube.