Having misplaced his stethoscope, a nurse borrows a colleague's stethoscope. He next enters the patient's room and identifies himself, washes his hands with soap, and states the purpose of his visit

He performs proper identification of the patient before he auscultates her lungs. Which critical health assessment step was not performed?
a. Running warm water over stethoscope for patient comfort
b. Cleaning stethoscope with Betadine
c. Using alcohol-based hand disinfectant
d. Cleaning stethoscope with alcohol


ANS: D
Bacteria and viruses can be transferred from patient to patient when a stethoscope that is not clean is used. The stethoscope should be cleaned before use on each patient. Running water over the stethoscope does not kill bacteria. Betadine is an inappropriate cleaning solution and may damage the equipment. Hand sanitizer is not an approved cleaning product.

Nursing

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A client visits an urgent care center and tells the nurse that he has had nausea and vomiting for 3 days and thinks he has the flu. The nurse should assess the client for symptoms of:

1. adequate carbohydrate intake. 2. vitamin C deficiency. 3. chronic fatigue. 4. dehydration.

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Which statement made by the client who is prescribed "voice rest" therapy for vocal cord polyps indicates the need for more teaching?

A. "I will stay out of rooms and places where people are smoking." B. "When I speak at all, I will whisper rather than use a normal tone of voice." C. "For the next several weeks, I will not lift anything weighing more than 10 pounds." D. "I will drink at least 3 quarts of water each day and use stool softeners to prevent constipation."

Nursing

Healthcare organization X is committed to improving patient outcomes and, as part of the QI process, examines its executive structure and organizational design. This approach recognizes:

a. The importance of decentralized structure in QA. b. That structure influences nurse burnout and participation in quality improvement initiatives. c. The need to ensure sufficient supervisory staff to respond in a corrective manner when mistakes occur. d. That a narrow hierarchy ensures accountability for errors and outcomes.

Nursing

Jared is a small business owner and has noted an increase in the rate of back injuries in recent years. When discussing his concern with Becky, an occupational health nurse, he finds that this is a trend throughout the country

Becky shares with him that the most common back injury is caused by a strain to which of the following muscle groups? A. Lumber B. Cervical C. Thoracic D. Trapezius

Nursing