When beginning a complete bath on a 17-year-old in traction with bilateral femur fractures, the nurse's priority is which of the following?
1. Enlisting help to turn the client
2. Providing privacy for the bath
3. Oral care
4. Obtaining lotion to moisturize the skin
2
Rationale: The adolescent client—most clients for that matter—considers privacy very important during the bathing process, which would be the first priority. After arranging for privacy, the skin should be assessed to determine the need for lotion, as some people's skin is drier than others. Oral care is important but is not the first priority. The nurse will not require help to turn the client until preparing to do the back and buttocks, so this is not the priority at this time.
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Jane has transferred from the ICU to the CCU. She is very set in the way she makes assignments and encourages her new peers to adopt this method without sharing the rationale for why it is better
This is a good example of a process and procedure that creates which type of conflict? a. Organizational b. Intrapersonal c. Interpersonal d. Disruptive
An appropriate item on a Likert scale would be:
A) Good health is important. B) People who do not take care of their health should be shot. C) Eating well will ensure that I live to be 100. D) I would be very happy to eat more vegetables every day .
The nurse is caring for a patient who is approaching death. When must the nurse notify the organ bank? When:
1. Death is imminent in all cases. 2. Death is imminent and an organ donation card or the back of the driver's license indicates that the person wanted to donate his organs. 3. Death is imminent and the family consents to organ donation. 4. The nurse assesses that the family can be approached about organ donation.
A nurse is caring for a woman who is in labor and the fetus descends to the lower birth canal. The woman is in which of the following stages of labor?
a. First b. Second c. Third d. Fourth