The nurse prepares the client care area to minimize physical hazards of administering IV therapy, which include: Standard Text: Select all that apply
1. Abrasions.
2. Chemical exposure.
3. Latex allergy.
4. Needle stick.
5. Burns.
1,2,3,4
Rationale: Abrasions from equipment packaging offer potential portals for microorganisms.
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After experiencing an ST-wave elevation myocardial infarction, a 64-year-old man has been admitted to the cardiac unit of the hospital for care
The nurse has completed a comprehensive assessment and is creating a plan of care that is holistic in its focus. How can the nurse best integrate the principles of holism into the client's care? A) By creating a plan of care that utilizes the knowledge and skills of disciplines other than nursing B) By continually evaluating the efficacy of nursing interventions and by making changes as needed C) By prioritizing the client's spiritual and psychosocial needs over his physical needs D) By integrating each of the various dimensions of the client's identity into his care
A nurse is receiving a client from the emergency department diagnosed with an acute exacerbation of ulcerative colitis (UC). The nurse anticipates the client may present with which clinical characteristics?
Select all that apply. A) 5-30 diarrhea stools per day with blood and mucus B) Steady right lower quadrant or periumbilical pain C) Cramping in left lower quadrant; relieved by defecation D) Tenderness and mass noted in right lower quadrant E) Fever, malaise, fatigue
The nurse administers cefotetan (Cefotan) to a patient who also is taking warfarin (Coumadin). The nurse should monitor the patient carefully for
a. increased WBCs. b. significantly elevated levels of cefotetan. c. bruising or bleeding gums. d. hyperkalemia.
A nurse prepares a patient with an ileal conduit to be discharged to his home. Which of the following is a normal finding following this procedure?
A) The stoma should be pale to light pink in color. B) The stoma usually stabilizes within 6 months. C) Most stomas are flush with the abdominal surface. D) Mucus in the urine is a normal finding.