Which areas of the body is/are protected by normal flora? (Select all that apply.)
a. Skin
b. Bladder
c. Lower gastrointestinal (GI) tract
d. Nose and throat
e. Eye
A, C, D, E
Normal flora inhabit and protect the skin, lower GI tract, nose and throat, and eyes. The bladder does not have any natural flora for protection.
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When considering how to best maintain family integrity, the nurse would best focus on which of the following:
1. Developmental tasks. 2. The family stress response. 3. Patterns of interaction. 4. Family boundaries.
The nurse suspects that a patient is experiencing fat embolism syndrome (FES). Which assessment data support the nurse's clinical decision?
Select all that apply. 1. pulse oximetry 88% 2. petechiae observed on the chest and upper arms 3. complaints of shortness of breath 4. respiratory rate 32 5. skin warm and dry
What preoperative checks do you think should have occurred? Give rationales to explain why you think these checks are important
You are allocated to the role of circulating nurse to care for a 75-year-old woman undergoing a left hip hemi-arthroplasty. During the Surgical Safety Checklist it becomes apparent that incorrect prostheses have been ordered and sterilised, and no suitable alternative prostheses are available. Your patient is already anaesthetised and now needs to be woken up as the surgery cannot go ahead as planned. What will be an ideal response?
A pt asks the nurse how insulin injection site rotation should be accomplished. What is the nurse's best response?
a. "rotation within one site is preferred to avoid changes in insulin absorption" b. "change rotation sites after a week or two to avoid lipohypertrophy" c. "rotation from site to site each day is best for the best insulin absorption" d. "always rotate insulin injection sites within 4-5 inches from the umbilicus"