A patient needs oral hygiene. The nurse and care plan tell you which of the following?
a. How many teeth the person has
b. What time to give the oral hygiene
c. How much help the person needs
d. How to give oral hygiene
C
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When a distinction must be made as to whether a client is demonstrating confusion related to
depression or dementia, what nursing assessment would be of particular value? a. The client with dementia is pervasively angry and hostile. b. Early morning agitation and hyperactivity are present in dementia. c. The depressed client is preoccupied with leaving the facility to return home. d. Confusion seems to worsen at night when dementia is present.
A nurse is positioning a sterile drape to extend the working area when performing a urinary catheterization. Which of the following is an appropriate technique for this procedure?
A) Use sterile gloves to handle the entire drape surface. B) Fold the lower edges of the drape over the sterile-gloved hands. C) Touch only the outer 2 inches of the drape when not wearing sterile gloves. D) When reaching over the drape do not allow clothing to touch the drape.
The nurse is instructing a new mother with limited financial resources regarding formula feeding the infant. Which statement indicates that the nurse's education session was effective?
1. "I should only use soy-based formula for the first year.". 2. "I follow the instructions for mixing the powdered formula exactly.". 3. "I can reuse one bottle for several feedings.". 4. "The mixed formula can be left on the counter for a day.".
A community/public health nurse had a referral to visit a grandmother in her apartment to follow up on blood pressure readings because she was on a new medication. While in the apartment,
the nurse took the blood pressure readings of all the adults and children there. What is the nurse attempting to do? a. Perform a case finding. b. Follow the American Heart Association guidelines. c. Give care to all members of the family, regardless of reimbursement. d. Involve the family in the care.