What emergency equipment should the nurse have available at the bedside for a patient who has just had a tonsillectomy?
a. Sterile hemostats
b. Suction
c. Sterile gauze packing
d. Irrigation set
ANS: B
Suction should be available in case the patient is unable to swallow and aspiration risk occurs. There is no reason for hemostats, packing, or irrigation to be needed.
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A long-term care facility is committing to a restraint-free environment. What will the health care workers implement to encourage this environment? (Select all that apply.)
a. Frequent orientation to surroundings b. Explain all procedures and treatments c. Discourage visitors d. Maintain toileting routines e. Minimize exercise and ambulation
After receiving a handoff report from the night shift, the nurse completes the morning assessment of a patient with severe sepsis
Vital sign assessment notes blood pressure 95/60 mm Hg, heart rate 110 beats/min, respirations 32 breaths/min, oxygen saturation (SpO2) 96% on 45% oxygen via Venturi mask, temperature 101.5° F, central venous pressure (CVP/RAP) 2 mm Hg, and urine output of 10 mL for the past hour. The nurse initiates which active physician order first? a. Administer infusion of 500 mL 0.9% normal saline every 4 hours as needed if the CVP is < 5 mm Hg. b. Increase supplemental oxygen therapy to maintain SpO2 greater than 94%. c. Administer 40 mg furosemide (Lasix) intravenous as needed if the urine output is less than 30 mL/hr. d. Administer acetaminophen (Tylenol) 650-mg suppository per rectum as needed to treat temperature > 101° F.
The nurse is ensuring that client care is provided with high quality since one cost of poor quality of care would be:
a. increase in staff job satisfaction. b. improved use of time for task performance. c. litigation and malpractice settlements. d. reduced training of new employees.
A 16-year-old female client who is sexually active visits the healthcare facility for counseling. During the visit, the nurse provides the client with information about the risks and effects of sexual activity during the adolescent years
Which of the following would the nurse include in the discussion? A) Irregular menstruation B) Sexually transmitted infections C) Change in body functioning D) Urinary tract infections