A nurse is caring for a client with a skin infection. What precaution is most helpful in
keeping the client's area clean?
A) Suggest that the client follow the protocol of the healthcare facility
B) Instruct the client to dispose of biohazard waste in red bags
C) Sanitize the area by wiping with a germicidal cloth
D) Clean up spills on carpeting or upholstered items
C
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The newly admitted client has a large burned area on the right arm. The burned area appears red, has blisters, and is very painful. How should this injury be categorized?
A. Superficial B. Partial-thickness superficial C. Partial-thickness deep D. Full thickness
The term for glucose in the urine is ________.
Fill in the blank(s) with the appropriate word(s).
The nurse should remove the cord clamp within 24 hours to:
1. Decrease the risk for infection 2. Make the clamp less difficult to remove 3. Reassess the number of vessels found within the cord 4. Decrease the chance of tension injury to the area
When assessing the force, or strength, of a pulse, the nurse recalls that the pulse:
a. Is usually recorded on a 0- to 2-point scale. b. Demonstrates elasticity of the vessel wall. c. Is a reflection of the heart's stroke volume. d. Reflects the blood volume in the arteries during diastole.