A client is having intravesical BCG instillation for bladder cancer. Safety precautions the nurse should implement include
a. disinfect the toilet and urine containers with bleach.
b. limit time giving direct client care to 30 minutes per 8-hour shift.
c. not allowing visitors into the room during the instillation.
d. wearing a gown and gloves when entering the room.
A
BCG instillation is very toxic and all toilets and urine containers used by the client during the instillation and for 6 hours afterwards need to be disinfected with bleach
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The nurse is caring for an acutely ill patient who has central venous pressure monitoring in place. What intervention should be included in the care plan of a patient with CVP in place?
A) Apply antibiotic ointment to the insertion site twice daily. B) Change the site dressing whenever it becomes visibly soiled. C) Perform passive range-of-motion exercises to prevent venous stasis. D) Aspirate blood from the device once daily to test pH.
The most appropriate hemodynamic monitoring procedure to assess the left ventricular function of a patient who has suffered an MI would be:
A) CVP monitoring B) Pulmonary artery pressure monitoring (PAPM) C) Systemic arterial pressure monitoring (SAPM) D) Arterial blood gases (ABG)
A neighbor asks a nurse, "Are there any resources that would help me get reliable information about alternative and complementary therapies?" Which resource should the nurse recommend?
a. National Center for Complementary and Alternative Medicine b. American Psychiatric Association c. American Medical Association d. Centers for Disease Control and Prevention
A nurse helps a young adult conduct a personal lifestyle assessment. Why should the nurse carefully review the assessment with the young adult?
A. Young adults ignore their risk for a serious illness B. Young adults are unable to afford health insurance C. Young adults are exposed to hazardous substances D. Young adults ignore physical symptoms and postpone seeking health care