The nurse teaches a patient at home to use clean technique when changing a wound dressing. This is which of the following?
a. The nurse's preference
b. Safe for the home setting
c. Unethical behavior
d. grossly negligent
Ans: b. Safe for the home setting
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You are caring for a patient with renal dysfunction. The patient tells you that the pain in their right flank has gotten worse. Why would you notify the physician of the increased pain?
A) Pain promotes dilute urine and flushing of the lower urinary tract. B) Delayed emptying of the bladder and poor hygiene may contribute to pain secondary to renal or urinary tract dysfunction. C) Pain may indicate progression or recurrence of dysfunction, or untoward signs. D) A high level of fear or apprehension can interfere with learning and cooperation.
What nursing intervention will help prevent a client's feeding tube from becoming clogged?
A. Administer medications in a liquid rather than crushed state B. Flush the feeding tube with an acidic liquid, such as cranberry juice. C. Flush the feeding tube with water before each intermittent tube feeding. D. Do not flush the tube for continuous feeding; interruptions cause clogging.
Three types of supervision identified by Hansten and Washburn (2004) are:
a. unsupervised, supervised, and periodic inspection. b. unsupervised, initial direction, and assessment. c. continuous supervision, periodic inspection, and initial assessment. d. initial direction, unsupervised, and continuous supervision.
In which type of AV block does the PR interval lengthen until a beat is dropped?
a. First-degree AV block c. Second-degree Mobitz II AV block b. Second-degree Mobitz I AV block d. Third-degree AV block