The nurse enters a room in preparation for a sterile dressing change. Which must the nurse do before preparing the sterile field?
A. Turn the room fan off.
B. Open the blinds in the room.
C. Request the client perform hand hygiene.
D. Increase the temperature in the room 10 degrees to prevent chilling the client.
Answer: A
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The public health nurse is conducting a community screening for diabetes. Which of the following people does the nurse identify as being at highest risk for type 1 diabetes?
A) A person with an affected sibling B) A person with an affected father C) A person with multiple affected first-degree relatives D) A person with an affected mother
While bathing a patient, the nurse discovers a grayish black, nodular growth that resembles a blackberry in the middle of the patient's back. The nurse should:
a. encourage the patient to seek medical care as the findings are consistent with malig-nant melanoma. b. teach the patient how to assess for changes in the growth c. document finding an actinic keratoses on the back. d. suggest the patient get treatment for a growth that is consistent with squamous cell carcinoma.
A client with Guillain-Barré syndrome is undergoing plasmapheresis. If a shunt is used for vascular access with plasmapheresis, which of the following parameters assures the nurse that the shunt is patent?
A. Palpable distal pulses B. A pink, warm extremity C. The presence of a bruit D. A shunt pressure higher than 25 mm Hg
What clinical manifestations would the nurse expect in the client with chronic persistent hepatitis?
A. The client has symptoms of hepatomegaly. B. The client is asymptomatic. C. The client is confused. D. The client has asterixis.