A nurse is performing a sterile dressing change. If new sterile items or supplies are needed, how can they be added to the sterile field?
A) with sterile forceps or hands wearing sterile gloves
B) by carefully handling them with clean hands
C) with clean forceps that touch only the outermost part of the item
D) by clean hands wearing clean latex gloves
A
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After being diagnosed with cataracts, a client believes the right eye has a cataract but not the left eye, as there are no vision changes with the left eye. Which response by the nurse is appropriate?
A) "Only your doctor can tell if you have a cataract in your left eye." B) "Cataracts develop at different rates, so one eye will be more affected than the other." C) "Don't worry about it until you can't see out of your left eye." D) "Your doctor must have made an error."
The radiation of a mitral valve murmur is commonly heard in the:
A. Carotid arteries B. Left mid-axillary line C. Base of the heart D. Left mid-clavicular line
The nurse is caring for a patient with an enteral feeding tube. During assessment, the nurse finds that the patient's oxygen saturation level has dropped significantly and the respiratory rate and effort have increased
What action should the nurse take first? a. Stop any infusion of fluids or medications through the feeding tube. b. Assess all of the patient's vital signs. c. Notify the healthcare provider. d. Reposition the patient.
During the examination of a female client's breasts, the nurse determines that which of the following assessment findings would be normal?
1. Nipple discharge 2. Masses 3. Scaling 4. Symmetrical nipples