While assisting with insertion of a central line, the nurse notes bright red blood flashing back into the tubing. The physician inserting the device removes it immediately. Which nursing action is indicated?
1. Replace the contaminated syringe and tubing.
2. Re-prime the set with sterile normal saline.
3. Call for the rapid response team.
4. Apply direct pressure to the insertion site.
Answer: 4
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When preparing to administer an antineoplastic agent to a hospitalized patient, the nurse should:
A) Administer only pre-packaged agents from the manufacturer. B) Wash hands and arms following administration. C) Use gloves and a lab coat. D) Dispose of the antineoplastic wastes in the hazardous waste receptacle.
The nurse receives shift change report on infants born within the last 4 hours. Which newborn should the nurse assess first?
A) Newborn born at 37 weeks gestation. Respiratory rate of 45 breaths per minute. B) Term newborn, 2 hours old, who has not passed a meconium stool. C) Term newborn born yesterday. Heart rate is 150 beats per minute. D) Term newborn born 1 hour ago who is exhibiting grunting respirations.
Informed consent
What will be an ideal response?
Friction commonly occurs when
A. dirt, oils, and perspiration are not removed from the skin. B. the patient is positioned directly on a body prominence. C. a patient is dragged across a sheet or other surface. D. the patient is moved by using a lifting sheet.