Because M.Z. has been having diarrhea, what special instructions should you give the NAP
assigned to give basic care to M.Z.?
What will be an ideal response?
• Pay careful attention to perineal care. Carefully wash around the catheter with soap and water, and
dry thoroughly. This cleansing should be provided at least twice a day and after each BM. Remind
the NAP to reinforce the teaching about cleaning and wiping front to back.
• Encourage fluid intake.
• Monitor I&O carefully.
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A nurse evaluates the following arterial blood gas and vital sign results for a client with chronic obstructive pulmonary disease (COPD):
Arterial Blood Gas Results Vital Signs pH = 7.32 PaCO2 = 62 mm Hg PaO2 = 46 mm Hg HCO3- = 28 mEq/L Heart rate = 110 beats/min Respiratory rate = 12 breaths/min Blood pressure = 145/65 mm Hg Oxygen saturation = 76% Which action should the nurse take first? a. Administer a short-acting beta2 agonist inhaler. b. Document the findings as normal for a client with COPD. c. Teach the client diaphragmatic breathing techniques. d. Initiate oxygenation therapy to increase saturation to 92%.
A nurse is aware that the best method to ensure documentation accuracy is to consistently chart
1. At the completion of each shift. 2. Within 4 hours of providing care. 3. Immediately after care is provided. 4. Immediately before providing care.
Of the following types of disabilities, which group may be especially at risk for abuse?
a. Those with physical disabilities b. Those with mental disabilities c. The communicatively handicapped d. The mentally retarded
The director of study abroad had to cancel a trip because a travel advisory was issued warning that the country to be visited was not safe for foreign travel. The director was using
a. Referent power b. Positional power c. Coercive power d. Legitimate power