The nurse has just begun a new enteral feeding on a client using a closed system of formula. The nurse labels the bag with the time and date it was begun (1300 hours on 12/6) knowing that this will mean the feeding tubing set will need to be changed at which time and date?
A. 1300 hours on 12/7
B. 0100 hours on 12/7
C. 1300 hours on 12/8
D. 1300 hours on 12/9
Answer: A
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A nurse is caring for a patient who has had an angiogram. What should the nurse make a point of care to assess and document on this patient?
a. Fluid intake b. Peripheral pulses in the affected leg c. Inquiring about an allergy to iodine d. Decreased blood pressure
A patient is suspected of developing an allergy to an environmental substance and has been given a patch test. During the test, the patient develops fine blisters, papules, and severe itching
The nurse knows that this is indicative of what strength reaction? A) Weak positive B) Moderately positive C) Strong positive D) Severely positive
A nurse is preparing a patient for a physical assessment. The patient appears anxious about the assessment. Which statement by the nurse would be most appropriate?
A) "This is nothing to worry about. I won't hurt you." B) "Some of the examination may be painful, but I will be gentle." C) "Let me tell you what I will be doing. It should not be painful." D) "I have to do this, so just relax and it won't last long."
The teen was diagnosed with Hodgkin's disease. She has begun treatment with chemotherapy and low-dose radiation. Which of the following nursing interventions would be useful in the care of this teen?
a. Review methods to prevent infection b. Use a soft toothbrush or Water-pik c. Encourage frequent rest periods d. All of the above