An unconscious male patient's beard has become soiled with blood and adhesive tape residue. What should the nurse do initially to maintain the patient's hygiene?
a. Trim the beard to a short, manageable length.
b. Shampoo the beard at the bedside and comb out debris.
c. Determine if there are contraindications to trimming the beard.
d. Use baby powder to soak up debris; comb debris out.
C
The nurse ensures that trimming or removing the beard is acceptable to the patient's family be-cause several cultures forbid removal of facial hair. In addition, patients can spend years growing a beard and want to keep it. The patient is likely to become angry and dissatisfied when he rea-lizes that his beard is gone. Trim the beard only if permission is given. Shampooing the beard is impractical and likely to soak the bed and patient in the process. Baby powder is an ineffective method of cleaning hair.
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An 8-year-old child is hit by a motor vehicle in the school parking lot. The school nurse notes that the child is responding to verbal stimulation but is not moving his extremities when requested. What is the first action the nurse should take?
a. Wait for the child's parents to arrive. b. Move the child out of the parking lot. c. Have someone notify the emergency medical services (EMS) system. d. Help the child stand to return to play.
Which class of antihypertensive drugs has a higher incidence of side effects?
a. Angiotensin converting enzyme (ACE) inhibitors b. Calcium channel blockers c. Alpha-beta blockers d. Direct vasodilators
When a manager appropriately recognizes the successful completion of a delegated team task, what is the primary reward for the manager?
A) Less involvement in uncomplicated tasks B) A staff that is familiar with team-related delegated tasks C) Professional recognition as a leader D) Staff that is growing as professional caregivers
Bariatric patients commonly
A) require more fluids than other patients. B) require the same amount of fluid as other patients. C) consume far too much fluid because they feel hot. D) receive fluids through a gastrostomy tube.