A 40-year-old client has just undergone extensive surgery involving both his lower
limbs. Which nursing consideration is most important for the nurse to keep in mind
when using a pulse oximeter for recording oxygen saturation?
A) Avoid using alcohol to clean the site where the sensor is applied
B) Ensure that the sensor is placed over the client's thumb or toe
C) Ensure that the alarm is set when performing continuous analysis
D) Avoid moving or changing the position of the sensor
C
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The nurse is caring for a postoperative patient who had a colostomy placed 2 days ago. The appliance needs to be changed for the first time. Which ostomy care actions may the nurse delegate to the nursing assistant? (Select all that apply.)
a. Gently cleaning the stoma with warm water and a washcloth. b. Assessing the stoma and incision for signs of infection or ischemia. c. Obtaining needed supplies from the clean utility room. d. Teaching the patient how to care for the ostomy after discharge. e. Determining which type of ostomy appliance to use. f. Application of skin protectant to the area surrounding the stoma.
A nurse working in an outpatient dermatology clinic is caring for a client who has been diagnosed with a lentigo maligna. Which statement is inappropriate for the nurse to include in the client's teaching plan?
A) The lesion is also called Robertson freckle. B) The lesion is a precursor to melanoma. C) The lesion is a tan or black patch on the skin that looks like a freckle. D) The lesion grows slowly, becoming mottled, dark, thick, and nodular.
A patient is prescribed demulcents. What patient education should the nurse provide about the proper use and application of these drops? "You should apply the drops
a. sparingly." b. twice daily." c. every 2 hours." d. as often as needed."
Which pediatric clients would require a nursing assessment for blunt chest trauma? Select all that apply
1. A preschool-age client who is admitted after a house fire. 2. A toddler-age client who is admitted for injuries sustained in a motor vehicle accident. 3. A school-age client who is admitted for observation after a skateboarding accident. 4. An adolescent client admitted for an asthma exacerbation. 5. An infant admitted to rule out cystic fibrosis.