When a nurse will be in direct contact with a client's body fluids, which of these statements about use of protective equipment is TRUE?
a. Gloves are optional, but a gown is required.
b. Hands should be cleansed before and after gloves are applied.
c. Gown, mask, and goggles are required.
d. Sterile gloves are required for any client contact.
B
Gloves are required when hand contact with any body fluid is anticipated. Hands are cleansed before and after gloves are applied.
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The nurse cares for a client with a central venous catheter. Which action by the nurse is incorrect when maintaining the client's central line?
A. Wiping the access port with an antimicrobial swab for 30 seconds. B. Using a 5-mL syringe to flush the catheter. C. Flushing the catheter before and after each dose of medication. D. Using a push-pause-push motion to flush the catheter.
What is the rationale for not administering tetracycline (Sumycin) in children under the age of 8 years?
A) It will not treat the infection. B) It will increase the risk of heart failure. C) It will interfere with enamel development. D) It will increase the risk for future infections.
When assessing heart sounds, the nurse is aware that the time between S2 and S1:
A) Indicates inadequate blood pressure B) Indicates inadequate pulse pressure C) Corresponds to diastole D) Corresponds to systole
A client approaches the nurse and blurts out "You've got to help me! Something terrible is
happening. I'm falling apart. I can't think. My heart is pounding and my head is throbbing.". The nurse responds "It's almost time for visiting hours. Let's get your hair combed.". This interaction can be evaluated as a. a distracting technique to lower anxiety. b. bringing up an irrelevant topic. c. sensitive to physical needs. d. addressing false cognitions.