When providing discharge instructions to a surgical client, the nurse should include which of the following interventions? (Select all that apply.)
a. keep bed linens clean and dry
b. take antibiotics as ordered by physician
c. change dressing once a week
d. wash hands thoroughly twice a day
e. call the physician if temperature is elevated
f. wear gloves when changing the dressing
A, B, E
To reduce the chance of exposure to pathogens, the client should keep bed linens clean and dry, take antibiotics as ordered by physician, call the physician if temperature is elevated, wash hands thoroughly when contaminated, and change dressing as ordered by physician. There is no need for the client to wear gloves.
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After taking penicillin as prescribed, a patient shows signs of diarrhea and informs the nurse that there is blood in his stools. Which of the following interventions should the nurse do next?
A) Contact primary health provider immediately. B) Have the patient consume yogurt with his next meal. C) Decrease fiber content in diet. D) Continue with prescribed regimen.
The informatics nurse reviews a disaster plan created for a healthcare organization. Which statement should the nurse eliminate from this plan?
A) Limits the loss of data B) Increases in the budget line to prepare for future disasters C) Limits loss of equipment D) Offers a logical system to employ during an unforeseen disaster
An unlicensed assistive personnel (UAP) asks a nurse how to tell the difference between the first and second heart sounds. The nurse replies:
1. "The first heart sound, or systolic sound, is shorter and higher pitched than the second heart sound, or diastolic sound." 2. "The first heart sound, or diastolic sound, is shorter and higher pitched than the second heart sound, or systolic sound." 3. The first heart sound, or diastolic sound, is shorter, softer, and lower pitched than the second heart sound, or systolic sound. 4. "The first heart sound, or systolic sound, is longer, louder, and lower pitched than the second hart sound, or diastolic sound."
A 6-month-old infant has severe diarrhea. Which of the following is the major problem associated with severe diarrhea?
a. Pain in the abdominal area b. Electrolyte and fluid loss c. Presence of excessive flatus d. Irritation of the perineal and rectal area