A nurse orienting a new certified nursing assistant (CNA) to the unit would evaluate the CNA's ability to use which of the following basic infection control practices?
1. standard precautions
2. contact isolation
3. droplet isolation
4. protective isolation
ANS: 1
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On the first day following a severe burn, the body's fluid reserves have left the circulating volume and entered the interstitial space, causing massive edema. What should the nurse monitor for very closely in the burn victim?
a. Increasing intracranial pressure b. Reduced urine output c. Eschar formation d. Fluid overload
Two psychotic clients in the inpatient unit get into fights when they are in the same room
During a team meeting, one nurse suggests the safety of the two clients is of paramount importance and that their treatment plans should call for both to be placed in seclusion to keep them from injuring each other. The suggestion is significant because it a. violates the civil rights of the two clients. b. reinforces the autonomy of the two clients. c. reveals that the nurse values the principle of justice. d. represents the intentional tort of battery.
The nurse is admitting to the medical-surgical unit an older adult woman with a diagnosis of pulmonary hypertension and right-sided heart failure
The patient is complaining of shortness of breath, and the nurse observes conversational dyspnea. What is the first action the nurse should take? a. Review and implement the primary care provider's prescriptions for treatments. b. Perform a quick physical examination of breathing, circulation, and oxygenation. c. Gather a thorough medical history, including current symptoms, from the family. d. Administer oxygen to the patient through a nasal cannula.
The lymphatic system filters and destroys pathogens and removes other potentially harmful substances
Indicate whether the statement is true or false