Which of the following is a recommended guideline for maintaining a sterile field?
A) When a portion of the sterile field becomes contaminated, the nurse should remove the contaminated objects and continue with the procedure.
B) If a supply is missing, you may leave the sterile field briefly to obtain it.
C) If the patient touches the sterile field, you should discard the supplies and prepare a new sterile field.
D) If the patient touches the nurse's gloves during the procedure, you may still proceed with the procedure.
C
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An 89-year-old client recently lost his wife of 69 years to cancer. He reports "I had the strangest thing happen to me last night. I woke up and saw my wife sitting in her chair." The nurse's best response would be:
a. "How long have you been hallucinating?" b. "Hallucinations are often caused by disturbance in brain chemicals." c. "Hearing or seeing things that are not real can be a normal response to extreme stress." d. "I recommend you speak to your doctor to review your medications."
The nurse is teaching a client to self-administer subcutaneous heparin at home. What does the nurse include in client teaching?
1. Use a 22-gauge, 1-inch needle for the heparin injections. 2. Change needles after withdrawing the heparin from the vial. 3. Instruct the client and family to recap all needles used at home. 4. Grab a large pinch of skin and inject heparin into center of skinfold.
You observe a middle school class during a lecture on physical fitness. You notice that one boy spends much of his time biting on his lip or on his pencil. You observe a cigarette in his shirt pocket
According to the psychoanalytic model, this child is MOST likely to be characterized as: a. appropriately expressing teenage impulses b. demonstrating anal fixation and concentration c. misdirecting and expressing sexual energy d. preoccupied with or fixated on the oral phase
A confused patient may perceive perineal care as a sexual assault.
Answer the following statement true (T) or false (F)