Which of the following is a priority nursing responsibility when preparing a patient for a percutaneous coronary intervention procedure?
1. assess for allergies to white fish
2. report a creatinine level of 2.6 mg/dl
3. monitor deep tendon reflexes
4. shave and prep the anterior chest wall
2
Rationale: Renal function can be altered by the contrast dye. Patients with renal insufficiency receive Mucomyst prior to the procedure to decrease the toxic renal effects of the contrast dye. An allergy to white fish does not mean that the patient cannot receive contrast medium during the procedure. There is nothing to indicate the need to assess the patient's deep tendon reflexes. The anterior chest wall does not need to be shaved and prepped for this procedure.
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The difference between child abuse and child neglect is:
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Which of the following statements is appropriate for a nurse to teach a patient regarding the use of crutches?
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An older patient is near the end of life and the family is concerned that the patient has a pressure ulcer because, in their view, this denotes poor care. What explanation by the nurse is best?
a. "You're right; we will try harder to care for her." b. "I'm so sorry this is upsetting for you to see." c. "We are doing the best we can to care for your loved one." d. "Age-related changes can make it im-possible to prevent ulcers."
Your facility is changing to the waterless bathing system. You will be giving a bed bath to Mr. DeLong using the bag bath product. You know that
A. you should heat the package in the microwave for 10 minutes. B. you must bring extra towels to the room because the product drips. C. draping the patient with a bath blanket will not be necessary. D. the waterless bathing system may be used at room temperature.