The patient has a peripheral infusion for the administration of antibiotics. Which action is most effective for the nurse to use to detect an intravenous (IV) therapy–related infection?
a. Use clean technique for dressing changes.
b. Palpate the insertion site through the dressing.
c. Change the IV tubing at 12-hour intervals.
d. Routinely apply an antimicrobial to the IV site.
B
The nurse palpates the insertion site gently through the dressing to detect any infection by checking for tenderness or swelling. Removing the dressing exposes the insertion site to conta-mination from the nurse's contact and environment and risk to the tissues. The nurse uses aseptic technique for IV dressing changes. IV tubing changes every 12 hours are excessive and costly. The nurse applies antimicrobial agents to the insertion site according to agency policy.
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Clients with mental disorders benefit from therapeutic groups because they provide:
1. Feedback from a number of sources. 2. A monitoring system that helps clients control impulses. 3. The best stimuli for clients. 4. A way for them to feel "normal."
The stresses of providing care for people who are ill have created a need for a nursing student to relax. Which of the following techniques should the student choose in order to manage stress?
A) Avoid talking about school or clinical when at home. B) Take time to do physical activity of some kind each day. C) Schedule enough time for watching television and having two or three alcoholic drinks each evening. D) Try to socialize with nursing instructors outside of school and clinical.
A nurse is interviewing a mother of two children, ages 5 and 14. They were in a hotel fire a year ago in which their father was killed. The mother is concerned because the younger child has nightmares
The older child does not seem to have any problems. What action by the nurse is the most appropriate? A. Ask the mother about physical injuries to the children. B. Determine if the mother sought counseling after the fire. C. Focus the appointment on the younger child only. D. Inquire if the older child avoids hotels, even on television.
A terminally ill patient is experiencing secretions pooling in the back of the throat. What can the nurse do to help this patient feel more comfortable?
1. Raise the head of the bed. 2. Gently massage the patient. 3. Provide frequent small sips of fluids. 4. Provide oral care.