The 32-year-old mother who is undergoing radiation from a sealed-source modality and has been isolated in a private room for 3 days is preparing to be visited by her 8-year-old twins. The nurse should include what in the preparations?
a. Instruct the children to visit at the bedside one at a time.
b. Inform family that children cannot visit patients undergoing radiation.
c. Put chairs in the hall for "long-distance" visitation.
d. Allow visitation of only 3 minutes without any physical contact.
C
Children and pregnant people should not visit at the bedside, but a visit from a safe distance or by phone helps relieve the boredom of isolation.
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A nurse has assessed an aggregate, determined the priority health needs, and decided on what intervention to offer. Which of the following will best determine if the intervention will be successful?
a. Accuracy of the nurse's assessment b. Careful planning and implementation of the intervention c. Determination of the aggregate's perspective of the need for the intervention d. Selection of appropriate evaluation measures both in process and on completion
A 69-year-old patient is brought to the ED by ambulance because a family member found him lying on the floor disoriented and lethargic. The physician suspects bacterial meningitis and admits the patient to the ICU
The nurse knows that risk factors for an unfavorable outcome include what? Select all that apply. A) Blood pressure greater than 140/90 mm Hg B) Heart rate greater than 120 bpm C) Older age D) Low Glasgow Coma Scale E) Lack of previous immunizations
Upon assessing the client in the morning, the nurse notes that there is urine leaking out around the indwelling urinary catheter. The nurse should first:
A. Insert the catheter farther B. Reinflate the catheter balloon C. Remove the catheter and reinsert another D. Apply padding around the urinary meatus
The nurse is caring for a patient who has a temperature reading of 100.4° F (38° C). His last two temperature readings were 98.6° F (37° C) and 96.8° F (36° C). The nurse should
a. Call the physician and anticipate an order to treat the fever. b. Assume that the patient has an infection and order blood cultures. c. Wait an hour and recheck the patient's temperature. d. Be aware that temperatures this high are harmful and affect patient safety.