As you continue the assessment, you notice that a nursing assistive personnel (NAP) comes
in to take K.B.'s blood pressure (BP). The NAP places the BP cuff on K.B.'s left arm. What, if
anything, do you do?
What will be an ideal response?
Discretely stop the NAP from taking the BP on the left arm. Doing so could cause damage to the AV
fistula and alter the circulation of that arm. Point out that the BP can be taken in K.B.'s right arm.
Ensure that a sign specifying "NO BP/VENIPUNCTURE IN LEFT ARM" is placed over K.B.'s bed; some
facilities place a special armband over the restricted extremity. Outside of the patient's room, in
private, review the reason you asked the NAP to change arms for the BP.
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A baby in the newborn nursery has several charms pinned to the outer blanket. What is the significance of these charms?
A. Ritual to protect the infant during the first few days of life B. Protection against specific illnesses during this time C. Respect for the new life of the infant D. Declaration of the child belonging to a particular ethnic group
During a health assessment the patient asks the nurse, "Why do you need all this health information and who is going to see it?" What is the nurse's best response?
A) Please do not worry. It is safe and will be used only to help us with your care. It allows access to a wide variety of people who need to know your health information. B) It is good you asked and you have a right to know; your information helps us to provide you with the best possible care, and your records are in a secure place. C) Your health information is placed on Web sites to provide easy access to anyone wishing to see your medical records, which is a great way to offer other people your information. D) Health information becomes the property of the hospital and we will make sure that no one sees it. Then, in 2 years, we destroy all records and the process starts over.
The nurse is providing patient education to a high school girls' athletic class. Which statement by a member of the class best demonstrates understanding of anabolic steroid use in females? "Ste-roid use may lead to
a. menstrual irregularities." b. enlarged breasts." c. uterine enlargement." d. a change in hair texture."
Which hypothesis is nondirectional?
a. Hospitals with an infection-control nurse will have fewer instances of sepsis among inpatients than hospitals without an infection-control nurse. b. There will be a greater weight loss among dieting patients who receive a weekly supportive telephone call from a dietitian than among dieting patients who do not receive a weekly supportive phone call. c. There will be a difference in stage of disease for prostate cancer among men who had an abnormal prostate-specific antigen screening compared with men who had an abnormal digital rectal examination screening. d. Children who receive weekly counseling for 1 year after the death of a parent will perform better in school than children who do not receive weekly counseling after the death of a parent.