The community health nurse is planning an education session for recently hired teachers at a child-care center. It is most important that the nurse teach the staff:
1. The schedule for immunizations.
2. Principles of infection control.
3. How to interpret health care records.
4. How to take a temperature.
2
Rationale:
1. The schedule of immunizations is important for child-care administrators to know, but it is not most important for teachers to know this information.
2. While all of the information is nice to know, it is most essential that teachers know principles of infection control to decrease the spread of germs that can cause disease in young children.
3. Health care records are important for child-care administrators to interpret to ensure compliance with state regulations, but not more important to know than are principles of infection control.
4. It is important for the child-care teacher to know how to take a temperature, but it is a higher priority for the teacher to know how to maintain infection control.
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The nurse recognizes that pain assessment is an important aspect of all nursing assessments. Clients might be reluctant to self-report pain because of: Standard Text: Select all that apply
1. A fear of shots. 2. A belief that expressions of pain reveal weakness. 3. Not wanting to disturb staff. 4. A fear of addiction. 5. A fear that the nurse won't believe the pain reported.
An 85-year-old patient has had age-related changes in the cochlea. What is the most appropriate nursing action for the nurse to implement?
a. Speak slowly. b. Provide assistance with ambulation. c. Speak in a lower tone. d. Communicate with the patient in writing.
What should a nurse include when caring for a patient after a hypophysectomy, during which the entire pituitary was removed?
a. Maintaining strict intake and output fluids b. Keeping the patient flat in bed for the first 24 hours c. Withholding analgesics to assess the level of consciousness d. Providing mouth care with thorough cleansing of the oral cavity
Upon assessment of the client 24 hours postprocedure for a hemicolectomy and temporary colostomy placement, the nurse notes that the client's stoma is dry and dark red in color. What would be the nurse's best action?
A. Notify the surgeon. B. Document the finding as the only action. C. Place a colostomy pouch system over the stoma. D. Place petrolatum gauze dressing over the stoma.