A nurse is engaged in a group discussion about using research findings to improve clinical practice. Which of the following would the group least likely suggest to foster the use of research findings?
A) Subscribing to clinical practice journals
B) Attending professional meetings
C) Reading source documents for new guidelines
D) Purchasing statistical software
D
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Which of the following measures should the nurse take when caring for the hospitalized client with TB?
a. Double-bag and dispose of client secretions as infectious waste. b. Wear gown, gloves, goggles, head cover, particulate respiratory mask, and shoe covers when entering the client's room. c. Instruct the client to wear a surgical mask at all times. d. Select reusable care items and keep them in the client's room.
A 74-year-old woman who is in the hospital for rehabilitation following hip replacement has been experiencing incontinence since admission. Which of the following interventions are likely to fa-cilitate the restoration of the patient's bladder function?
(Select all that apply.) a. Assess the patient's recent voiding pat-tern. b. Request an order for an indwelling cathe-ter from the patient's physician. c. Teach the patient how to meet hydration needs while still limiting fluid intake. d. Assist the patient to use the bathroom. e. Request an order for medication to de-crease bladder spasms.
What anal or rectal disorder is the most likely cause of her symptom?
A 26-year-old woman comes to your clinic, complaining of leakage of stool despite generally normal, pain-free bowel movements. She denies any blood in her stool or on the toilet paper. She has had no recent episodes of diarrhea. Her past medical history includes a spontaneous vaginal delivery 3 months ago. She had a fourth-degree tear of the perineal area (from the vagina through the rectum) that was surgically repaired after delivery. A few days later the patient developed an abscess in the anal area that had to be incised and drained. She denies using any tobacco, alcohol, or illegal drugs. Her mother and father are both in good health. She denies any weight gain, weight loss, fever, or night sweats. She is still breast-feeding without any problems. On examination you visualize a small opening anterior to the anus with some surrounding erythema. There is not a mass or other inflammation on inspection. Digital rectal examination reveals smooth rectal walls with no blood. She has no pain during the rectal examination. Bimanual vaginal examination is also normal. A) Anal fissure B) External hemorrhoids C) Internal hemorrhoids D) Anorectal fistula
On the first postpartum day, the nurse teaches a client about breastfeeding. Two hours later, the mother seems to remember very little of the teaching. What should the nurse identify as the reason for the client's memory lapse?
1. Epidural anesthesia 2. The taking-in phase 3. The taking-hold phase 4. Postpartum hemorrhage