The nurse is reviewing the instructions for applying a condom catheter with the NAP. Which of the following statements indicates an understanding of the procedure? (Select all that apply.)
a. "I should shave the pubic hair first.".
b. "With my dominant hand, I hold the rolled condom sheath.".
c. "I allow 1 to 2 inches of space between the tip of the penis and the end of the condom.".
d. "I should not use any additional adhesive tape around the penis.".
e. "I should first provide perineal care.".
B, C, D, E
Perineal care is completed and then the hair is clipped, not shaved. The nondominant hand holds the penis while the dominant hand holds the condom. The securing device supplied by the man-ufacturer is used. One to two inches of space is left at the tip of the penis and the end of the con-dom.
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The student nurse is performing an assessment of the client's peripheral vascular system with the experienced nurse's guidance
Which of the following actions by the student nurse indicate that the student nurse requires further education? Standard Text: Select all that apply. 1. The student nurse continues to assess the client while the client is in a flat, supine position. The client's respiratory rate increases to 26 breaths per minute and the client becomes dusky around the mouth and lips. 2. The student nurse requests that the client remove all undergarments prior to putting the gown. 3. The client left her socks on and the student nurse assesses the client's pedal pulses over the socks. 4. The client is wearing multiple rings and bracelets. The student nurse states that she may leave them on during the examination. 5. The student nurse takes a blood pressure cuff, Doppler, and stethoscope into the client's room for this assessment.
Which of the following assessment questions would be most appropriate for the nutritional-metabolic pattern?
1. "Do you use birth control?" 2. "Do you have diabetes or a family history of diabetes?" 3. "What do you do for relaxation?" 4. "Have you experienced incontinence of stool in the past?"
Mr. Howe develops a pleural effusion, so a chest tube is inserted. The nurse detects crepitus at the insertion site. Crepitus is indicative of:
A) Consolidated lung tissue. B) Pleural thickening. C) Air leakage into subcutaneous tissue. D) Obstructed airway.
A nurse researcher is designing an experiment. The nurse is aware that participants in the experimental group serve what function?
a. They receive a placebo. b. They receive the treatment. c. They provide a baseline for data measurement. d. None of the above are true.