Which of the following documentations in the client's chart on the 10th postpartum day indicates a normal involution process?
a. Moderate bright red lochial flow
b. Breasts firm and tender
c. Fundus below the symphysis and not palpable
d. Episiotomy slightly red and puffy
C
The fundus descends 1 cm/day, so by the 10th postpartum day, it is no longer palpable.
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Which of the following situations is most likely to contribute to a health care–acquired infection?
a. A closed urinary drainage system b. Use of aseptic technique during dressing changes c. Foley catheter drainage bag touching the floor d. Changing IV access site when site is red and warm
A hospital recently learned that their scorecard did not meet the national benchmark for patient satisfaction and brought in a professional change agent to determine what their issues were and how they could improve their score
The agent collected data and recommended that nurses participate in interdisciplinary walking rounds and allow the patient and family to be participants. Nurses now round every shift and perform "huddles to update the team" as needed throughout the shift as part of best practices. Random visits are made to nursing units to ensure all nurses are participating and patients are interviewed for their involvement. This stage of Lewin's change is: a. unfreeze. b. moving. c. refreeze. d. resistance.
A new nurse wishes to show concern and caring by using touch and seeks advice on the most appropriate ways of doing so. An experienced nurse explains that (Select all that apply.)
a. because of negative experiences, some patients do not want to be touched. b. nurses should be cautious about touching a patient of the opposite sex. c. patients' culture can strongly influence a nurse's ability to use touch. d. the nurse should assess whether touch is acceptable to patients or not. e. touch can be used in the absence of any other communication technique.
A nurse has been assigned a new client who cannot speak English. How should the nurse facilitate communication with this client?
1. Have a member of the housekeeping staff who speaks the same language translate. 2. Use the translation services supplied by the hospital. 3. Make sure a family member who does speak English is available. 4. Conduct the interview using hand gestures.