The nurse administers intradermal injections for allergy testing. Which is the best nursing intervention for the nurse to implement for skin testing?
1. Selects a 22-gauge needle
2. Injects at a 45-degree angle
3. Chooses the back for first test
4. Injects below antecubital space
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4. The nurse chooses a clear site without bruises, inflammation, edema, or other fac-tors that potentially impair absorption. Three fingerbreadths below the antecubital space or 1 handwidth above the wrist are suitable sites. The nurse can use both arms if more extensive testing is indicated because each forearm can manage 12 to 20 tests.
1. A 22-gauge needle is too large.
2. The nurse injects at a 5- to 15-degree angle.
3. The back is a suitable testing site, but the forearms are better because they are more easily accessed and visible.
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The nurse is caring for a patient diagnosed with cancer of the liver. The nurse reviews the care plan for the patient and learns the plan of care focuses on palliative measures
The nurse also notes that over the last 3 weeks, the patient's condition has continued to deteriorate and the nurse recognizes what? A) Death will occur in the next week. B) The patient is in the trajectory phase of chronic illness. C) The patient is in the downward phase of chronic illness and should be reassessed. D) The patient should immediately be admitted into the hospital.
The nurse caring for a patient with a pressure ulcer notes the wound is increasing in redness and has more swelling around the wound edges. Which nursing intervention is indicated?
1. Encourage the patient to ingest more fluids. 2. Assess for pain and warmth. 3. Cover the wound with a sterile dry dressing. 4. Dress the wound as prescribed.
A nurse researcher is planning a quantitative (experimental) research study to test the effect of a new wound product on wound healing. Which of these factors is necessary to implement an experimental pretest-posttest design? (Select all that apply.)
a. Inclusion of a second control group b. Ability to collect pretest data c. Use of two posttreatment data collection times d. Subjects randomized to the control group only e. Random assignment of subjects to treatment and control groups
An adolescent patient asks the nurse about sexual practices that help avoid contracting HIV. What should the nurse instruct this patient?
1. Always use a condom. 2. Be sure to be tested for HIV every 6 months. 3. There is no such thing as safe sex. 4. The only safe sex is no sex.