A nurse is applying a dressing to a client's surgical wound using sterile technique. While engaging in this activity, the nurse accidentally places a moist sterile gauze pad on the cloth sterile field. What physical principle is applicable for causing the sterile field to become contaminated?
a. Dialysis
b. Osmosis
c. Diffusion
d. Capillary
Answer: d. Capillary
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A nursing student is working to develop assessment skills. The student knows that nurses utilize principles of assessment:
1. Upon admission. 2. Throughout hospitalization. 3. At the point of entry to care. 4. Prior to discharge.
When assessing a patient with pericarditis, the nurse should be alerted to which of the following symptoms of the triad of cardiac tamponade?
A) Absence of pain B) Decreasing venous pressure C) Rising arterial pressure D) Distant heart sounds
The nurse should monitor the temperature of the environment of a client who becomes easily agitated, with awareness that increased temperatures sometimes may cause the client to become:
a. Calm b. Confused c. Cooperative d. More distressed
The nurse is concerned that a client with an alteration in perfusion is at risk for inadequate oxygenation. What should the nurse consider when planning for this client's potential health problem?
A) Encouraging ambulation every thirty minutes B) Instructing on deep breathing C) Administering medications appropriate to increase heart rate D) Positioning to increase blood return