The nurse would wear gloves while bathing a client in which of the following circumstances? Select all that apply. Standard Text: Select all that apply
1. When cleaning the client's dentures
2. When washing the perineum of a continent client
3. When washing the back and providing a back rub
4. When changing the client's linen
5. When washing the extremities
1,2
Rationale 1: The nurse wears gloves to protect against contamination from secretions, likely to be found when cleaning dentures and washing the perineum, whether the client is continent or incontinent. There is no need to wear gloves when washing the back, giving a back rub, changing linens, or washing the client's back unless the client has an open wound or there is drainage on the linen, which is not indicated in this question.
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A child with myasthenia gravis is brought to the emergency department by his parents. The parents have noticed a sudden increase in respiratory difficulty. The nurse suspects myasthenic crisis based on which statement by the parents?
A) "We gave him an extra dose of his medication earlier today." B) "He was coughing and had a slight fever yesterday and today." C) "Things have been pretty stress-free lately." D) "He's been resting when he gets tired."
The nurse notices that the patient seems calm and peaceful in spite of an assessment that the patient's injuries might be causing severe pain
The patient tells the nurse that the use of yoga, meditation, and ____ lessens the perceptions of pain to tolerable levels. 1. eating lots of ice cream. 2. music by a favorite instrument. 3. reading exciting science fiction. 4. self-administration of drugs.
A client who is newly diagnosed with diabetes is in the hospital for initial management of the disease. The nurse is administering an injection of NPH insulin at 7 AM
While the nurse is in the room, the client asks if s/he can go to the cafeteria with family around 2 PM, when they visit. The best response by the nurse is a. "No, I'd rather you wait until after 5, then you can go." b. "No, we need to monitor everything you eat for the next few days." c. "Sure, just be certain you don't eat or drink anything while you're there." d. "That's fine; let's talk about what kind of snack you can get there."
A client is being evaluated for the diagnosis of gastroparesis. Which of the following will the nurse most likely assess in this client? (Select all that apply.)
1. Constipation 2. Gastroesophageal reflux 3. Feelings of fullness 4. Vomiting 5. Nausea 6. Anorexia