In which of the following situations should the nurse use surgical asepsis?
a. Performing urinary catheter care
b. Inserting a nasogastric tube
c. Inserting a Foley catheter
d. Performing nasogastric tube care
C
Nurses use surgical aseptic techniques at the patient's bedside during procedures that involve inserting devices into normally sterile body cavities such as insertion of a Foley catheter. A na-sogastric tube is not going into a sterile cavity. Clean technique is used for the other situations.
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When reinforcing the PASS acronym for fire extinguisher use, the nurse reminds the staff that the final "S" stands for ______________
ANS:
A client is suspected of having cirrhosis of the liver. What diagnostic procedure will the nurse prepare the client for in order to obtain a confirmed diagnosis?
A) A liver biopsy B) A CT scan C) A prothrombin time D) Platelet count
At the completion of an assessment, the nurse chooses a nursing diagnosis that best defines the patient's health problems. Which type of clinical judgment should the nurse use at this time?
1. Diagnostic reasoning 2. Evidence-based practice 3. Critical pathway 4. Nursing process
Then completing nursing care for a client, the nurse should complete an incident report if which of the following situations occurs during care of this client?
a. Blood samples were sent to the lab and results were reported in 4 hours. b. Diuril 1 g PO was ordered for 1530 and administered at 1600. c. A visitor stayed 2 hours beyond normal visiting hours. d. A client who is diabetic and insulin-dependent receives her roommate's regular diet tray.