Prior to palpating the abdomen of a patient with several skin lesions, the nurse puts on a pair of gloves. The patient asks, "What are the gloves for?" Which is the best response the nurse can give the patient?

1. "Gloves are considered a standard precaution to provide protection to the health care provider during an exam."
2. "I don't want to catch anything from you."
3. "I prefer to wear gloves when touching people."
4. "The gloves help me to grip my equipment better."


1
Rationale 1: The nurse needs to use standard precautions throughout the entire physical examination and should explain this to the patient. Gloves are particularly important when skin lesions are present.
Rationale 2: The nurse should not make the patient feel "dirty" or "bad" when answering this question.
Rationale 3: This should not be the reason the nurse is wearing gloves and is not an appropriate answer.
Rationale 4: This statement is not accurate.

Nursing

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The recommended children's dosage of Keflex is 25 to 50 mg/kg/day in divided doses. The safe dosage range for a child weighing 42 lb is _______________

a. 500 to 1,000 mg/day b. 1,050 to 2,100 mg/day c. 262.5 to 525 mg/day d. 477.5 to 955 mg/day

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A patient is admitted with burns over 50% of his body. The nurse realizes that this patient is at risk for which electrolyte imbalances?

1. hypercalcemia 2. hypophosphatemia 3. hypernatremia 4. hypermagnesemia

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A group of nurses who work in the Emergency Department have been asked to meet with the unit manager's office after three children died there after being in an automobile accident

One of the nurses questions the need to meet since they are feeling comfortable with their actions in the situation. What information should be provided to the nurses by the unit manager? 1. Information obtained in the debriefing meeting will be used to assess the nurses' actions for appropriateness. 2. The meeting will enable the unit manager to make the determination of who is the best candidate to be charge nurse when the manager is away from the unit. 3. The meeting will be used for input into the nurses' annual pay increases. 4. The meeting will be used to allow the nurses an opportunity to share their feelings about the events.

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Listed below are some of the reasons nurses document. Which is not necessarily correct?

a. compliance with accreditation criteria b. accurate data needed to plan the patient's care in order to ensure continuity of care c. a resource for the hospital's protection only d. documented legal record to protect the patient, organization, and nursing and medical providers

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