The nurse has written a nursing order that states: "Change dressing and irrigate wound with normal saline every 4 hours for 3 days." This would be considered as being what type of nursing order?

a. Health promotion c. Prevention
b. Observation d. Treatment


ANS: D

Nursing

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The psychiatric–mental health nurse reflecting on professional role activities is referred to the standards of professional performance by a colleague. To which organization should the nurse look for guidance?

1. North American Nursing Diagnosis Association 2. American Nurses Credentialing Center 3. National League for Nursing 4. American Nurses Association

Nursing

To perform anterior thoracic auscultation, you would

a. use the bell of the stethoscope. b. instruct the patient to breathe deeply and slowly through the nose. c. shave areas of coarse chest hair to avoid sound distortion. d. ask the patient to displace the breast tissue when necessary to auscultate the lungs.

Nursing

Micah has come for his pre-kindergarten checkup at the pediatric clinic. His mother reports that Micah is behind on his immunizations because of issues with extreme prematurity. She also reports that Micah had chicken pox three months ago

The nurse knows that Micah will have which type of immunity toward the Varicella-zoster virus? 1. Vaccine-induced immunity 2. Natural active immunity 3. Passive active immunity 4. None of the above

Nursing

The 93-year-old woman with chronic back pain is found crying. When the nurse approaches, the patient says, "I know you can't do anything more, but I hurt so bad." The nurse's best intervention would be to:

a. bring pain medication when it is time for it. b. assure the patient that the pain medication will take effect soon. c. touch the patient's shoulder and sit quietly without speaking. d. distract the patient by offering a sip of water.

Nursing