The student nurses are in the skills lab learning the technique for the insertion of an IV catheter. How should these students be taught to treat excess hair at the intended site?
A) Leave the hair intact
B) Shave the area
C) Clip the hair in the area
D) Remove the hair with a depilatory
Ans: C
Feedback: Hair can be a source of infection and should be removed by clipping; it should not be left at the site. Shaving the area can cause skin abrasions, and depilatories can irritate the skin.
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The nurse is assessing a patient whose respiratory disease in characterized by chronic hyperinflation of the lungs. What would the nurse most likely assess in this patient?
A) Signs of oxygen toxicity B) Chronic chest pain C) A barrel chest D) Long, thin fingers
You are caring for a 32-year-old woman who has been sexually assaulted. What nursing interventions are initially most important for this client? Select all that apply
a. Help her to communicate effectively with police about the attack. b. Obtain permission from your client to test for pregnancy and STIs. c. Refer your client to a sexual assault support group. d. Promote and model empathy and support for her family members.
Before screening projects are undertaken, the sensitivity and specificity of screening levels or test values should be carefully reviewed. What is sensitivity?
A) The ratio of the incidence rate in the exposed group and the incidence rate in the nonexposed group B) Ability of a test to correctly identify people who have a health problem; the probability of testing positive if the health problem is truly present C) Variations measured in hours, days, weeks, or months; commonly found in outbreaks of infectious disease D) Ability of a test to correctly identify people who do not have a health problem; the probability of testing negative if the health problem is truly absent
The nurse and a female UAP are caring for a group of clients on a medical floor. Which action by the UAP warrants immediate intervention by the nurse?
1. The UAP washes her hands before and after performing vital signs on a client 2. The UAP dons sterile gloves prior to removing an indwelling catheter from a client 3. The UAP raises the head of the bed to a high Fowlers position for a client about to eat 4. The UAP uses a fresh plastic bag ot get ice for a clients water pitcher