After giving perineal care, avoid using the same washcloth, towel, and gloves elsewhere on the body.
Answer the following statement true (T) or false (F)
True
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A nurse assesses a client who is dying. Which manifestation of a dying client should the nurse assess to determine whether the client is near death?
a. Level of consciousness b. Respiratory rate c. Bowel sounds d. Pain level on a 0-to-10 scale
A hospital is considering implementing the use of critical pathways and case management
Which statements by a nurse would indicate to the nurse manager that more education should be provided? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. "If we use critical pathways, we won't have physical therapy to help us ambulate clients." 2. "If a client is not able to follow the critical pathway, a variance will be written." 3. "The critical pathway lists discharge outcomes but won't help us with day-to-day guidance of care." 4. "Once the client is on a critical pathway, we must follow it until discharge." 5. "Using critical pathways will help us reduce length of stay and costs to the client."
A nurse is leading a bereavement group. Which of following members of the group should the nurse identify as being at high risk for complicated grieving? (Select all that apply.)
1. A widower who has recently experienced the death of two good friends 2. A man whose wife died suddenly after a cerebrovascular accident 3. A widow who removed life support after her husband was in a vegetative state for a year 4. A woman who had a competitive relationship with her recently deceased brother 5. A young couple whose child recently died of a genetic disorder
A nurse is assisting a client when he is draining his new continent ileostomy. The catheter appears to be plugged with stool. Which of the following actions should the nurse take to rectify the problem?
A) Avoid milking the catheter. B) Wait for 8 hours to obtain drainage. C) Leave the catheter in place overnight. D) Rotate the catheter tip inside the stoma.