The policy at your facility is to change the bed linens every other day. Mr. Coleridge's linens were changed yesterday, but you notice dried blood on the bottom sheet. What should you do?
A. Place a draw sheet over the blood, so it isn't noticeable.
B. Try to wash the blood out with a soapy washcloth.
C. Leave the sheet in place.
D. Change the sheets, and report the blood to your supervising nurse.
Answer: D
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When working with clients with somatoform disorders, the nurse knows the priority intervention is to:
1. Encourage clients to participate in group therapy to receive feedback about the effect of their behavior on others. 2. Tone down clients' characteristic extravagance. 3. Establish a trusting relationship. 4. Express respectful skepticism regarding clients' oversimplifications and overdramatizations.
The perinatal nurse is caring for a woman at 26 weeks' gestation who has a history of hypertension that has been well controlled. Today she presents with a blood pressure of 156/102 mm Hg and she has 2+ protein on urine dipstick
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The nurse is assessing four clients in the skin clinic for skin cancer. Which client is of highest risk for skin cancer?
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The nurse is caring for a non–English-speaking child and family. Which should the nurse consider when using an interpreter?
a. Pose several questions at a time. b. Use medical jargon when possible. c. Communicate directly with family members when asking questions. d. Carry on some communication in English with the interpreter about the family's needs.