The nurse prepares to change the client's dressing by using sterile technique. Which does the nurse implement to promote infection control?
1. Scrub drain insertion site in a back and forth manner.
2. Clean the incision from wound edges toward the center.
3. Remove old dressing with clean gloves; inspect the wound.
4. Don sterile gloves, remove dressing, and open sterile supplies.
3
3. The nurse organizes wound care activities into those requiring clean and sterile technique and, thus, wearing clean gloves, the nurse removes the old dressing, inspects the wound, and opens sterile supplies; then the nurse performs hand hygiene and applies sterile gloves to begin the ste-rile procedure.
1. The nurse cleanses the drain insertion site by using circular motions beginning close to the center and working toward the periphery. The nurse cleans all wounds in a clean to dirty direc-tion to ensure that each cleansing stroke uses a fresh cleansing surface and avoids contamination of a cleansed site with an uncleansed site.
2. The nurse applies clean gloves to remove the dressing and encloses the dressing inside the gloves for disposal.
4. After hand hygiene and wound inspection, the nurse opens the supplies, applies sterile gloves, and begins wound care.
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When assessing the presence of microscopic red blood cells present in the urine of a 32-year-old female, it is necessary to ask if she is
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What do new practice models that change the staffing mix do?
A) Automatically cancel the patient classification system B) Will result in fiscal savings C) Require no changes in scheduling policies D) Impact patient care assignment methods
A Filipino American patient had a nursing diagnosis of situational low self-esteem related to poor social skills as evidenced by lack of eye contact
Interventions were used to raise the patient's self-esteem, but after 3 weeks, the patient's eye contact did not improve. What is the most accurate analysis of this scenario? a. The patient's eye contact should have been directly addressed by role-playing to increase comfort with eye contact. b. The nurse should not have independently embarked on assessment, diagnosis, and planning for this patient. c. The patient's poor eye contact is indicative of anger and hostility that were unaddressed. d. The nurse should have assessed the patient's culture before making this diagnosis and plan.
A nurse is caring for a client who has been receiving treatment for schizophrenia with chlorpromazine for the past year. It would be essential for the nurse to monitor the client for which of the following?
A) Weight loss B) Torticollis C) Hypoglycemia D) Tardive dyskinesia