The nurse is teaching a patient to self-administer subcutaneous heparin at home. What does the nurse include in patient teaching?
a. Use a 22-gauge, 1-inch needle for the he-parin injections.
b. Change needles after withdrawing the he-parin from the vial.
c. Instruct the patient and family to recap all needles used at home.
d. Pinch a large area of skin and inject hepa-rin into the center of the skin fold.
D
The nurse instructs the patient to grab a large pinch of skin and inject the heparin into the center of the skin fold at a 90-degree angle to deposit the medication into subcutaneous tissue. A 22-gauge needle is too large for a subcutaneous injection; a 25- or 27-gauge needle is a better choice because a finer needle creates a smaller hole. As a result, the medication tends to remain in the subcutaneous space, the patient is more comfortable, and the skin develops scar tissue more slowly. Changing needles is not necessary. Needles are never recapped; the patient at home should obtain a sharps container or use an impenetrable container to hold used needles. The pa-tient should label the container to prevent injury to others.
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A patient passing bloody urine is scheduled for a cystoscopy with cystogram. Which description of the procedure by the nurse is accurate?
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The forerunner of evidence-based nursing practice was:
1. The Hippocratic Oath 2. The science of Medicine 3. Evidenced-based medicine 4. Research utilization
A community/public health nurse tried to keep the community informed of the progress of the new health programs at all the meetings that the nurse attended. Which of the following would be the reason for the nurse's ongoing communication?
a. To avoid community dissatisfaction when expectations are not met b. To be sure that no one blames the nurse when unexpected happenings occur c. To fulfill the responsibility of keeping the community informed d. To be politically and culturally sensitive to the needs of the community