An instructor teaches a group of nursing students about sterile technique in long-term care facilities. A student demonstrates understanding by saying:
1. "Long-term care is a residential setting, so sterile technique is not important."
2. "Residents do not have the need for procedures that require sterile technique."
3. "The rate of infection varies widely from one facility to another, so no standards are enforced."
4. "The variety and number of pathogens in a nursing home is just as concerning as it is in a hospital setting."
ANS: 4
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The nurse is calling report to the emergency room from a long-term care facility. The nurse states that the client abruptly experienced a change in mentation including disorientation and confusion
Vital signs are: temperature, 102.2° F; pulse rate, 88 beats/minute; respiratory rate, 24 breaths/minute; and blood pressure, 152/70 mm Hg. Lungs are clear. Which potential diagnosis would the emergency room physician place in the initial documentation? A) Delirium B) Dementia C) Disorientation D) Alzheimer's disease
Which patient should the nurse prioritize as needing emergent treatment, assuming no other injuries are present except the ones outlined below?
A) A patient with a blunt chest trauma with some difficulty breathing B) A patient with a sore neck who was immobilized in the field on a backboard with a cervical collar C) A patient with a possible fractured tibia with adequate pedal pulses D) A patient with an acute onset of confusion
The patient who had surgery yesterday reports his chest feels tight. Assessment reveals respiratory rate of 29, inspiratory wheezes, stridor, and an oxygenation saturation of 80%. The nurse would consider this patient to be which priority for transfer to the intensive care unit
1. Priority 1 2. Priority 2 3. Priority 3 4. Priority 4
A student has reviewed a patient's chart before beginning assigned care. Which of the following actions violates patient confidentiality?
A) writing the patient's name on the student care plan B) providing the instructor with plans for care C) discussing the medications with a unit nurse D) providing information to the physician about laboratory data