The nurse is caring for a patient with a postsurgical wound dehiscence who is being treated with a wet-to-dry dressing. Which of the following can be appropriately delegated to the nurse assistant?
a. Performing a sterile dressing change
b. Observing for any drainage on the dressing
c. Performing wound assessment during the dressing change
d. Notifying the physician of drainage present on the dressing
B
Wound assessment and sterile dressing changes cannot be delegated to nursing assistive personnel (NAP). The nurse can direct the NAP to report any drainage from the wound that is present on the sheets or as strike-through from the dressing. The NAP should not be reporting this to a physician.
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Two nurse researchers are reviewing a qualitative research study report for possible publication. There is a great amount of debate between the two nurses on the accuracy and meaning of the study data
Which criteria of trustworthiness are these nurses debating? 1. Confirmability. 2. Transferability. 3. Credibility. 4. Dependability.
A new mother does not want the baby to return to the nursery because of the fear of someone taking the baby without her permission. What should the nurse explain to the mother to allay her fears?
A) Only people who are known to the staff are permitted in the nursery. B) Keeping the baby in the mother's room at all times is the best approach. C) Both the mother and infant have identification bands that need to match. D) Security questions everyone before permitting them access to the hospital.
A client in ventricular fibrillation requires defibrillation. What action should the nurse take before delivery of the shock?
A. Set the defibrillator to the synchronous mode. B. Deliver a precordial thump to the upper portion of the sternum. C. Test the equipment by delivering a smaller shock at 100 J. D. Ensure all personnel are clear of contact with the client and bed.
The school nurse becomes aware that a student with a diagnosis of infectious mononucleosis has been reporting to sports practice. The nurse will advise the student and the coach that:
a. the student should drink 8 to 10 glasses of water a day and not get overheated in practice b. the student should rest until any splenomegaly resolves, as the spleen could rupture c. there are few complications from infectious mononucleosis d. the student should not play unless she is free of any fever