The nurse is providing instruction to a patient regarding home wound irrigation. How far should the patient hold the hand-held showerhead from the wound when irrigating the wound?

a. 2.5 inches
b. 6 inches
c. 12 inches
d. 18 inches


ANS: C
When wound irrigation is done at home with a hand-held showerhead, the showerhead should be held approximately 12 inches from the wound.

Nursing

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A health care aide insists that a patient with mental illness eat specific foods to balance energy forces. The patient tells the nurse, "I go along with the diet to keep my aide happy." Which phenomenon is evident?

a. Biculturalism b. Enculturation c. Cultural imposition. d. Culture-bound syndrome

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When a male client is unable to shave himself, the nurse should prepare to shave the client by first:

a. applying shaving cream b. placing a warm, wet washcloth over the face c. using short, firm strokes to begin d. pulling the skin taut

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You are caring for a patient admitted with a drug overdose. What is your priority intervention in caring for this patient?

A) Support respiratory and cardiovascular functions B) Provide for safety of the patient C) Enhance clearance of the agent D) Provide for safety of the staff

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Informed consent is a client's legal right to:

1. have consultation, education, case review, and mediation when conflicts arise between the health care facility and the client. 2. receive adequate and accurate information about his or her medical condition and treatment. 3. influence health care institutional policy and procedures. 4. address his or her ethical decision-making dilemmas.

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