A client had a femoropopliteal bypass graft with a synthetic graft. What action by the nurse is most important to prevent wound infection?
a. Appropriate hand hygiene before giving care
b. Assessing the client's temperature every 4 hours
c. Clean technique when changing dressings
d. Monitoring the client's daily white blood cell count
ANS: A
Hand hygiene is the best way to prevent infections in hospitalized clients. Dressing changes should be done with sterile technique. Assessing vital signs and white blood cell count will not prevent infection.
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Advanced specialized education in the area of medical-surgical nursing includes the titles of nurse practitioner, clinical nurse specialist, and/or advanced practice nurse. What sets these nurses apart from the staff nurse?
A) Collaboration with other health care providers B) Providing direct care through independent practice C) Advanced documentation skills D) Ability to give care in the operating room.
When teaching a client who is prescribed niacin to decrease triglyceride levels and raise HDL levels, the nurse should instruct the client that:
a. in high doses, niacin is very effective in decreasing triglyceride levels and raising HDL levels. b. due to the low incidence of adverse effects, niacin is the drug of choice for reducing triglyceride levels and raising HDL levels. c. niacin is the most expensive of all drugs used to treat hyperlipidemia. d. niacin should be administered on an empty stomach.
The nurse working in an outpatient obstetric clinic assesses four primigravida patients. Which patient findings would the nurse tell the physician about?
1. 17 weeks' gestation and denies feeling fetal movement. 2. 24 weeks' gestation and fundal height is at the umbilicus. 3. 27 weeks' gestation and complains of excess salivation. 4. 34 weeks' gestation and complains of hemorrhoidal pain.
To inspire nurses to "be all they can be," leaders must provide a revitalized care environment with which of the following elements?
A. Competitiveness and chaos B. Collaboration and competitiveness C. Chaos and constantly changing D. Engaging and inspiring