According to the Nursing Intervention Classification system, Domain 6 generally deals with issues related to
a. basic physiological needs c. health systems
b. complex physiologi-cal needs d. behavioral issues
C
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The nurse is caring for a patient in spinal shock. Vital signs include blood pressure 100/70 mm Hg, heart rate 70 beats/min, respirations 24 breaths/min, oxygen saturation 95% on room air, and an oral temperature of 96.8° F
Which intervention is most important for the nurse to include in the patient's plan of care? a. Administration of atropine sulfate (Atropine) b. Application of 100% oxygen via facemask c. Application of slow rewarming measures d. Infusion of IV phenylephrine (Neo-Synephrine)
A nurse is educating a group of nursing assistants in long-term care on the prevention of skin tears. Which of the following interventions should the nurse include in the education? (Select all that apply.)
a. Lubricate the resident's skin with moist-urizers twice daily b. Ensure that the resident has adequate nu-trition and hydration c. Bathe the resident in hot soapy water d. Avoid the use of lifting shifts when trans-ferring the resident e. Dress the resident in long sleeves and long pants to protect the extremities
When caring for patients in any health care environment, what is the most important technique for preventing infection?
A) Sterile technique B) Standard precautions C) Hand hygiene D) Use of gloves
A nursing staff in an inpatient psychiatric unit fails to conduct the regularly scheduled group meetings because of staffing problems. Which client right does this impact?
A) Right to refuse treatment B) Right to receive treatment C) Right to confidentiality D) Right to review the treatment plan