A nurse answers a call light on the postoperative nursing unit. The client states there was a sudden gush of blood from the incision, and the nurse sees a blood spot on the sheet. What action should the nurse take first?
a. Assess the client's blood pressure.
b. Perform hand hygiene and apply gloves.
c. Reinforce the dressing with a clean one.
d. Remove the dressing to assess the wound.
ANS: B
Prior to assessing or treating the drainage from the wound, the nurse performs hand hygiene and dons gloves to protect both the client and nurse from infection.
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The patient looks at the prescription provided by the doctor and asks the nurse whether he can request a generic substitution. The nurse answers "No" when noting what on the prescription?
A) No refills B) DAW C) Brand name used on prescription D) Patient older than 65 years of age
How has the decreased use of restraints affected fall rates in long-term care facilities?
1. It has not changed. 2. It has increased, but injuries have not. 3. It has decreased. 4. Both fall rates and injury rates have increased.
A nurse is working in a clinic that emphasizes cost control, customer satisfaction, health promotion, and preventive services. In which type of health system is this nurse providing care?
1. Managed care 2. Case management 3. Differentiated practice 4. Patient-focused care
Which statement is applicable to the involuntarily hospitalized client? The client has:
a. forfeited the right to informed consent b. lost the right to control personal affairs c. retained the right of free will to leave at any time d. retained the right to receive and refuse treatment