Which nursing action is appropriate for specimen collection?
a. Follow sterile techniques for specimen collection.
b. Sterile gloves are worn if the nurse plans to touch the specimen.
c. Use standard precautions when handling body fluids.
d. Avoid wearing gloves in front of the child and family.
C
Standard precautions should always be used when handling body fluids. Specimen collection is not always a sterile procedure. Gloves should be worn if there is a chance the nurse will be contaminated. The choice of sterile or clean gloves will vary according to the procedure or specimen. The child and family should be educated in the purpose of glove use, including the fact that gloves are used with every patient, so they will not be offended or frightened.
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A patient has had a screening test for gestational diabetes and the 1-hour result is 250 mg/dL. What does the nurse conclude about this patient?
A. Results are high; the patient has gestational diabetes. B. Results are inconclusive; will repeat test in one month. C. Results are lower than expected; seek endocrine consult. D. Results are normal; no gestational diabetes.
A 4-year-old child is admitted to the critical care unit with fever, chills, headache, vomiting, lethargy, photophobia, and nuchal rigidity. The patient has been unable to eat, and tube feedings are to be initiated
The preferred method for determining the insertion length of the nasogastric tube is to measure from the a. naris to ear to xiphoid process. b. ear to the umbilicus. c. naris to the xiphoid to ear. d. naris to ear to a point between the xiphoid process and the umbilicus.
Four important characteristics for effective communication are listed below. Which is not necessarily correct? Effective communication is __________
a. clear b. correct c. comprehensive d. concise
The nurse is collecting data for a patient who has a developing pressure ulcer. Which of the following would the nurse expect to identify as early manifestations of a pressure ulcer? (Select all that apply.)
a. Report of redness at the site b. Report of burning at the site c. Coolness of site to touch d. Cyanosis of site observed e. Tenderness at site when touched f. Report of decreased sensation at site