A 9-year-old child has a blood pressure of 112/72 mmHg in the school nurse’s office. What action by the school nurse is most appropriate?
a. Inform the parents the child might be dehydrated.
b. Note the normal finding in the child’s records.
c. Calculate the child’s Body Mass Index.
d. Refer the child for medication.
Ans: b. Note the normal finding in the child’s records.
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The nurse assesses a male resident in a nursing home for urinary incontinence and determines that he is unaware of the problem. Which recommendation should the nurse implement?
a. Limit oral fluid in-take. c. Apply absorbent undergarment. b. Provide regular toi-leting. d. Encourage frequent rest periods.
A major threat to health care workers is blood-contaminated sharps. As a safety precaution, the nurse should discard a used syringe in a:
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The nurse instructs the laryngectomized patient that, in order to warm the inspired air during cold weather, the patient should:
a. place hand over stoma. b. use scarf to cover stoma. c. wear moist dressing over stoma. d. stay in area of humidified air.
A patient has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus infection. What is the most important factor to prevent this infection?
A) Surgical asepsis B) Increased T cells C) Decreased antibiotics D) Increased vitamin C