The hospital nurse educator is preparing an orientation class for those newly hired on the surgical suite. Which of the following will the educator include in the orientation curriculum regarding hand and fingernail care? Select all that apply
a. Healthcare staff must routinely inspect their hands for breaks in skin.
b. Artificial nails are permitted if properly secured to the nailbed.
c. Wristwatches be may be worn as long as they are all metal.
d. Healthcare staff are to avoid wearing nail polish at all times.
ANS: A, D
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Which statement is not true about cardiopulmonary disease in older adults?
a. Falling and apparent confusion on the part of an elder can be signs of heart failure or of pneumonia. b. Chest radiographs are a reliable indicator of whether pneumonia is present in an older patient. c. Persons older than 65 years should receive Pneumovax once. d. Mouth hygiene is essential to the prevention and treatment of pneumonia.
What factors may contribute to patient medication errors? (Select all that apply.)
a. Only two objectives, instead of four, are included in the treatment plan discussed with the patient. b. The nurse fails to provide patients with information about both the desirable effects and the possible side effects of prescribed medication so that they can make an informed decision about the treatment plan. c. Medication-related teaching materials sent home with patients are written at a higher than eighth-grade reading level. d. Medication-related teaching materials sent home contain long sentences and medical terms rather than common or familiar words. e. The nurse gives patients with new prescriptions verbal instructions only, rather than talking to patients and giving them written information or talking to patients along with showing audiovisual aids.
A patient with multiple organ dysfunction syndrome exhibits changes in level of consciousness. Which pathologic change would the nurse expect?
1. WBC of 9,000 mm3 2. PaO2 85 3. blood gas results: pH = 7.34, PaCO2 = 56, HCO3 = 22 4. platelet count of > 50,000/mm3
The nurse knows that which of the following habits may interfere with a client's sleep?
1. Listening to classical music 2. Finishing office work 3. Reading novels 4. Drinking warm milk