The nurse is caring for a patient with a nursing diagnosis of risk for infection. Aware of the need for Standard Precautions, the nurse is careful to
a. Teach the patient about good nutrition.
b. Wear eyewear when emptying a urinary drainage bag.
c. Avoid contact with intact skin without wearing gloves.
d. Don gloves when wearing artificial nails.
B
Standard Precautions include the wearing of eyewear whenever there is a possibility of a splash or splatter. Teaching the patient about good nutrition is positive but does not apply to Standard Precautions. The term Standard Precautions applies to all blood and body fluids except sweat, even if blood is not present. It also applies to nonintact skin and mucous membranes.
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A nurse is caring for a female patient who has Turner syndrome. The patient is taking somatropin. The nurse will assess for which of the following?
A) Slipped capital epiphysis B) Severe scoliosis C) Cardiovascular disorders D) Renal failure
A client just recently diagnosed with panic disorder asks the nurse whether there is any way to predict when an attack will occur. The nurse should explain:
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Which subjective symptom reported by the client should alert the nurse to the possibility of hypocalcemia?
A. "I have a bowel movement only every 2 to 3 days." B. "Usually I wake up several times a night with painful cramps in my legs or feet." C. "My rings and shoes are much tighter fitting at night than they are in the morn-ing." D. "I notice that my heart seems to pound whenever I climb steps or drink a cup of coffee."
The home care nurse is caring for an Amish client. Integrating the family and church community into the client's care, with the client's permission, is an example of which modality for providing culturally congruent care?
A) Cultural care preservation B) Cultural care accommodation C) Cultural care restructuring D) Cultural care negotiation