The nurse teaches the client to perform a sterile dressing change at the catheter insertion site. Which client assessment requires follow-up nursing care?
1. Has serum WBC at 9000/mm3
2. Keeps supplies locked in cabinet
3. Uses plastic-lined trash container
4. Reinforces a saturated dressing/
4
4. The nurse provides follow-up nursing care to teach the client to perform a sterile dressing change for drainage on the dressing and to avoid reinforcing the dressing. Drainage from a catheter site is consistent with clinical indicators of infection and thrombophlebitis; the catheter should be removed and a sterile dressing placed over the site. The nurse instructs the client to remove the wet dressing, apply a new sterile dressing, and leave the catheter in place for removal. In addition, the client can be instructed to discontinue use of the catheter.
1. WBC count at 9000/mm3 is within normal limits.
2. Keeping the dressing supplies in a locked cabinet is unnecessary unless small children are in the house but does not require follow-up nursing care.
3. The client properly disposes of contaminated dressings in a plastic-lined container.
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A nursing student has made an error in judgment regarding the administration of a medication to a child resulting in an extended length of stay in the hospital for the child. The instructor tells the student that:
1. "You may be sued by the hospital for the extra care cost to the client.". 2. "You have compromised the standards of nursing.". 3. "You have placed the nursing student program in danger.". 4. "You have set a bad example for the other students.".
The nurse cares for a hospice client who reports pain from nerve damage related to diabetic neuropathy. She rates the pain at 9 out of 10. Which medication should she expect the physician to order for this client?
A) Antidepressant B) Muscle relaxant C) Low doses of opioid D) High doses of opioid
Symptoms, such as pain, are often influenced by a person's cultural heritage. Which of the following is a true statement regarding pain?
a. Nurses' attitudes toward their patients' pain are unrelated to their own experiences with pain. b. Nurses need to recognize that many cultures practice silent suffering as a response to pain. c. A nurse's area of clinical practice will most likely determine his or her assessment of a patient's pain. d. A nurse's years of clinical experience and current position are strong indicators of his or her response to patient pain.
The nurse admits a client to the surgical center who is to have surgery in two hours. After obtaining data for the admission paperwork, the client is assisted into a hospital gown and asked:
1. If he has any second thoughts about the procedure. 2. If he needs to use the restroom. 3. If he has any allergies. 4. Who has accompanied him to the center.