The nurse is caring for a patient who has had a chest tube in place for 2 days. As the nurse begins her shift assessment, she should ensure that what equipment is at the bedside? (Select all that apply.)
a. Two rubber-tipped clamps
b. Plain gauze 4 ? 4
c. Sterile petroleum gauze
d. Extra drainage system
e. A sterile chest tube of the same size as the one inserted in the patient
A, B, C, D
The nurse should ensure that two rubber-tipped clamps are at the bedside to clamp the tubing in case of emergency, as well as a plain gauze 4 ? 4 and sterile petroleum gauze to make an occlusive dressing should the chest tube become dislodged, and an extra drainage system, should the current system become full. There is no need to keep a spare chest tube in most instances because it could be obtained while waiting for the primary care provider to arrive and reinsert.
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As the nurse interviews the parents of a five year old, the parenting style is observed. Parents with a permissive style of parenting would exhibit which of the following characteristics or behaviors: Standard Text: Select all that apply
1. High control, high warmth 2. High warmth, low control 3. "We can talk about it" 4. "You make the decision" 5. High control, low warmth
Which belief will best support a nurse's efforts to provide patient advocacy during a multidisciplinary patient care planning session?
a. All mental illnesses are culturally determined. b. Schizophrenia and bipolar disorder are cross-cultural disorders. c. Symptoms of mental disorders are unchanged from culture to culture. d. Assessment findings in mental disorders reflect a person's cultural patterns.
The most important nursing intervention after the injection of epidural anesthesia is monitoring
a. Urinary output b. Contractions c. Maternal blood pressure d. Intravenous infusion rate
The patient is postoperative day 1 after surgery on the right knee and is to begin to walking with crutches using the three-point gait. Which does the nurse correct for the patient when ambulating with crutches?
a. Moves the right crutch first, left crutch second, and right leg last b. Begins in the tripod position and bears all weight on the left leg c. Slips three fingerbreadths between the crutch padding and the patient's axilla d. Flexes elbows at approximately 20 degrees while walking with crutches