Nursing pays careful attention to which of the following foundational aspect of nursing to prevent the spread of infection and promote healing:
1. Hygiene
2. Timeliness
3. Communication
4. Training
5.
1
Rationale 1: Attention to hygiene and the importance of cleanliness in the environment was one of the foundations of nursing care first established by Florence Nightingale.
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The nurse is preparing to inflate a pulmonary artery catheter (PAC) balloon while it is located in the pulmonary artery. What assessment is possible from this action?
1. When inflated, the catheter indirectly measures pressures in the left side of the heart. 2. When inflated, the catheter measures the pressure in the right side of the heart. 3. When inflated, the catheter indirectly measures the cardiac index. 4. When inflated, the catheter measures cardiac output through thermodilution.
A patient with an inflammatory response is prescribed ranitidine (Zantac) 75 mg once a day. What is your best action?
a. Give the drug as ordered. b. Hold the drug and notify the prescriber. c. Teach the patient to take the drug first thing in the morning. d. Ask the patient if he or she is allergic to any drugs or other substances.
A teen patient is tearful and reports locating lumps in her breasts. Other history obtained is that she is currently menstruating. Physical examination reveals soft and movable cysts in both breasts that are painful to palpation
The nurse also notes that the patient's nipples are erect, but the areolae are wrinkled. The next nursing step is which of the following? a. Reassure patient that her symptoms are normal. b. Consult a breast surgeon because of the abnormal nipples and areolae. c. Discuss fibrocystic disease as the likely cause. d. Tell the patient that the symptoms may get worse when her period ends.
Which of the following statements is true of ipratropium bromide (Atrovent)?
A. It is a quaternary derivative of atropine. B. It causes several adverse effects. C. It is a nonselective beta drug. D. It has a quick onset and prolonged duration of action.