A male client asks if someone can help him shave. What should the nurse do first before preparing to help this client?
1. Wash hands
2. Obtain a shaving kit
3. Apply a gown and gloves
4. Check prescribed medications
Rationale 1: Hands should be washed before beginning the procedure.
Rationale 2: A shaving kit may or may not be able to be used.
Rationale 3: The nurse does not need a gown to shave the client. Gloves should be worn.
Rationale 4: The nurse should check to see if the client is taking anticoagulants or large doses of aspirin because if client is accidentally cut, it could lead to some loss of blood.
Global Rationale: The nurse should check to see if the client is taking anticoagulants or large doses of aspirin because if client is accidentally cut, it could lead to some loss of blood. Hands should be washed before beginning the procedure. A shaving kit may or may not be able to be used. The nurse does not need a gown to shave the client. Gloves should be worn.
You might also like to view...
What best demonstrates the student nurse performing in an ethical manner in the clinical setting?
1. Performing procedures as taught 2. Talking with patients 3. Using the personal cell phone as infrequently as possible 4. Visiting with family members
The nurse is caring for a client who is concerned of having the beginning symptoms of Alzheimer's disease. Which question is helpful in determining risk factors?
A) "Has your house been tested for high radon levels." B) "Do you have any family with Alzheimer's disease?" C) "How many times a week do you eat red meat?" D) "At which time of day do you experience most symptoms?"
A client with dehydration is being administered IV fluids. During her rounds, the nurse noticed that the skin immediately surrounding the IV site was reddish in color and showing signs of inflammation
The nurse recognizes that what phenomenon is likely responsible? A) Phlebitis B) Thrombus formation C) Pulmonary embolus D) Air embolism
A resident is done taking a tub bath. When should you assist the person out of the tub?
a. Before draining the tub b. While the tub drains c. After the tub drains d. Whenever the person is ready to get out