The nurse is preparing the client for surgery and assisting the client to put on a hospital gown and hair cap. Which of the following articles does the nurse remove? (Select all that apply.)
a. hair piece d. dentures
b. glasses e. hearing aid
c. jewelry f. nail polish
A, C, D, F
Jewelry, makeup, nail polish, hairpins, wigs, dentures, bridgework, and any prostheses are removed; if policy permits, hearing aids, glasses, or contact lenses are left in place and the nurse so informs the operating room nurse.
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The nurse is educating the patient about the effects of immobility on the body. The following statements by the patient indicate a need for further education: (Select all that apply.)
a. "I can become very weak." b. "I will gain weight." c. "I will lose muscle tone." d. "I can get bed sores."
A nurse is reviewing the medical records of several patients who are to receive antibacterial drug therapy. The nurse understands that aminoglycosides would be contraindicated in clients with which of the following conditions? Select all that apply
A) Pre-existing hearing loss B) Pregnancy C) Parkinsonism D) Diabetes E) Hyperlipidemia
A client is receiving interferon. What should be the highest priority nursing intervention to prevent the client from experiencing rigors?
a. Pretreat with acetaminophen (Tylenol) and meperidine (Demerol). b. Provide antiemetics before treatment and around the clock. c. Infuse IV fluids as quickly as possible and assess urine output. d. Provide analgesia every 4 hours and assess for pain.
To use a transfer belt safely, you need to follow:
a. The care plan b. The manufacturer's instructions c. The doctor's orders d. The person's preferences