The nurse is instructing a new mother on circumcision care with a Plastibell. The nurse knows the mother understands when she states that the Plastibell should fall off within how long?
1. 2 days
2. 10 days
3. 8 days
4. 14 days
3
Explanation: 3. The Plastibell should fall off within 8 days. If it remains on after 8 days, the parents should consult with the newborn's physician.
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The nurse admits the patient to the postanesthesia care unit (PACU) after hand surgery. The patient is groggy but can respond after receiving conscious sedation and regional anesthesia. Which action by the nurse is priority?
a. Position the head to maintain a patent airway. b. Elevate the affected hand higher than the level of the heart. c. Monitor the circulatory status in the oper-ative hand. d. Measure the core body temperature.
The nurse is researching the literature to determine the best method to perform hand hygiene to prevent a postsurgical wound infection and has determined that which method has been determined to be the best?
A. Hand hygiene using a surgical scrub brush and very hot water works best to prevent infection. B. Performing hand hygiene using an alcohol-based rub has been shown as the best method to prevent postoperative infection. C. Prior to surgery, washing the hands with soap and water and finishing with an alcohol-based hand wash is the best method to prevent infection. D. Research has not determined whether hand washing with soap or the use of alcohol-based hand hygiene is better at preventing infection.
A community/public health nurse is working with a family who is having difficulty with communication. Which of the following behaviors would cause the nurse to be concerned?
a. Family members communicate through behaviors and verbal statements. b. Family members use rules to regulate behaviors in the family. c. Family members use double-bind messages. d. Family members communicate through metacommunication.
What is the best way for the nurse to evaluate the effectiveness of the patient's opiate agonist?
a. Ability of the patient to tolerate more activity b. Increased sleep time throughout the night c. Reduction of respiratory rate from 24 to 18 breaths/min d. Verbal report of 2 on a 1 to 10 scale