A hospital unit has a policy that rectal temperatures may not be taken on patients who have had cardiac surgery. What rationale supports this policy?
A) It is an embarrassing and painful assessment.
B) Thermometer insertion stimulates the vagus nerve.
C) It is less expensive to take oral temperatures.
D) It is to avoid perforating the wall of the rectum.
B
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A client, recovering from a mastectomy, will not look at the incision. The nurse identifies the nursing diagnosis of Body image disturbance. Which nursing intervention would be most appropriate to encourage the client to identify her personal strengths?
a. Telling the client she may feel more like looking at it tomorrow b. Appealing to the client's sense of humor c. Insisting that the client must look at the incision d. Having the spouse or partner look at the incision first
The nurse is preparing to admit a 5-year-old child who developed lesions of varicella (chickenpox) 3 days ago. Which clinical manifestations of varicella should the nurse expect to observe? (Select all that apply.)
a. Nonpruritic rash b. Elevated temperature c. Discrete rose pink rash d. Vesicles surrounded by an erythematous base e. Centripetal rash in all three stages (papule, vesicle, and crust)
A major provision of the Social Security Act of 1935 was the establishment of:
a. the FNS to provide nursing service to rural communities. b. state and local community health services and training of personnel. c. district nursing to provide home health care to sick people. d. community-based settlement houses.
Computerized charting will be initiated on select units of the hospital. Orientation to this new system will be provided to each nurse by a team of nurses educated in nursing informatics. This is an example of which type of change strategy?
1. Normative-reeducative strategies 2. Lippitt's phases 3. Empirical-rational model 4. Power-coercive strategies