The nurse is observing a second nurse who is changing a dressing. While observing the procedure, which would cause the nurse to stop the second nurse and take over the procedure?
A. The second nurse used one swab to clean the wound.
B. The second nurse cleaned the wound from near the wound and then outward.
C. The second nurse kept the forceps tip lower than the forceps handle when cleaning the wound.
D. The second nurse put on clean gloves to begin the wound cleaning process.
Answer: A
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The nurse using standardized assessment tools to screen for intimate partner violence (IPV) knows what facts about the tools? (Select all that apply.)
a. The Abuse Assessment Screen (AAS) has a body drawing to mark injuries. b. The Abuse Assessment Screen (AAS) includes a question about pregnancy. c. The Woman's Experience with Battering (WEB) scale has been updated to include strangulation. d. The Woman's Experience with Battering (WEB) scale looks for coercive behaviors. e. The Woman's Experience with Battering (WEB) scale screens for psychological abuse.
The nurse is preparing to provide a preschool-age child with an injection. Which technique should the nurse use when applying EMLA cream to the injection site?
A) Apply it at least 1 hour before the procedure. B) Wipe it off at least 15 minutes before the procedure. C) Apply it immediately prior to the painful procedure. D) Do not cover it after application to prevent it from discoloring.
The client has just learned she is pregnant and overhears the gynecologist saying that she has a positive Chadwick's sign. When the client asks the nurse what this means, how should the nurse respond?
a. "Chadwick's sign signifies an increased risk of blood clots in pregnant women because of a congestion of blood." b. "That sign means the cervix has softened as the result of tissue changes that naturally occur with pregnancy." c. "This means that a mucous plug has formed in the cervical canal to help protect you from uterine infection." d. "This sign occurs normally in pregnancy, when estrogen causes increased blood flow in the area of the cervix."
The nurse is caring for a child with increased intracranial pressure (ICP). What interventions should the nurse plan for this child? (Select all that apply.)
a. Avoid jarring the bed. b. Keep the room brightly lit. c. Keep the bed in a flat position. d. Administer prescribed stool softeners. e. Administer a prescribed antiemetic for nausea.