The nurse is assisting the health care provider insert a chest tube into a client with a hemothorax following a motor vehicle crash. Which would the nurse don in order to assist with this procedure? Select all that apply
1. Sterile gown
2. Sterile gloves
3. Mask with eye shield
4. Mask
5. Clean gown
Correct Answer: 3,5
The nurse would not need to don sterile gown or gloves, because the role of the nurse is to monitor the client during the procedure. However, due to the risk of splatter, the nurse would wear a gown and mask with eye shield.
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The client has had a fever, ranging from 99.8°F orally to 103°F orally over the last 24 hours. The client's fever would be classified as:
1) Constant. 2) Intermittent. 3) Relapsing. 4) Remittent.
The nursing instructor asks students how they would assess the fifth vital sign. Which student would be correct? "I would:
1) Have the client rate her pain on a scale of 0 to 10." 2) Ask the client when she had her last bowel movement." 3) Take the client's pulse oximetry reading." 4) Interview the client about history of tobacco use."
The nurse is caring for several postoperative clients on the unit. Which client does the nurse assess first?
a. Client with 200 mL dark drainage from the nasogastric tube in an hour b. Client who received oral pain medication 20 minutes ago c. Client who has not yet ambulated after surgery 4 hours ago d. Client requiring discharge teaching and whose family is present
Which of the following factor(s) is/are known to affect an individual's response to a drug?
a. age. b. sex. c. genetic factors. d. all of the above.