If a patient with a head injury has drainage from the nose or ears, which nursing intervention would be appropriate?
a. Cleanse ear or nose with a soft cotton-tipped swab.
b. Gently suction the nasal cavity.
c. Allow the patient to wipe the nose or ears, but not blow the nose or place anything in the external ear.
d. Place a pressure dressing over the ear.
C
The patient's ear and nose are checked carefully for signs of blood and serous drainage, which indicate that the meninges are torn and spinal fluid is escaping. No attempt should be made to clean out the orifice.
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By volunteering at the local health fair and handing out Women's Heart Disease pamphlets, the nurse is practicing which type of health promotion?
1. Primary prevention 2. Secondary prevention 3. Tertiary prevention 4. Preventative care
The nurse is leading a workshop on sexual health for men. The nurse should teach participants that organic causes of erectile dysfunction include what? Select all that apply
A) Diabetes B) Testosterone deficiency C) Anxiety D) Depression E) Parkinsonism
To prevent possible complications from cardioversion, before administering the shock, the nurse would ensure that the (Select all that apply)
a. emergency equipment is nearby and in working order. b. joules are set to 50-100 joules initially on a monophasic machine. c. machine is set to synchronize with the client's QRS complex. d. the Code Blue team has arrived and is prepared.
The nurse who has been having difficulty sleeping has investigated techniques to assist in consistently getting a good night's sleep as a method of taking care of oneself. Which of the following strategies will help to stimulate melatonin release?
A) Keeping a regular sleep schedule consisting of 8 hours per night B) Avoiding alcohol or caffeine at least 6 hours prior to bedtime C) Providing a room with optimal darkness before bedtime D) Exercising in the daylight or early evening