The nurse assigns patient care to nursing assistive personnel (NAP). Which wound care task should the nurse assign to NAP?
a. Applying a hydrocolloid dressing
b. Assessing the dimensions of the wound
c. Reporting visible drainage on dressing
d. Changing the first postoperative dressing
C
The nurse assigns reporting visible drainage on the dressing to the NAP because the NAP is trained to perform that wound care task. The remaining wound care tasks require critical thinking and nursing judgment, assessment, and evaluation skills that the nurse cannot delegate because he or she owes these duties to the patient. In addition, the nurse avoids delegating the first post-operative dressing change because it is a sterile procedure requiring the same nursing skills and judgment.
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Health care personnel who may be exposed to blood and body fluids should be immunized against hepatitis B. This is an example of :
a. physical prevention c. secondary prevention b. primary prevention d. tertiary prevention
A nursing student on a psychiatric unit questions how circadian rhythms and psychopathology are related. What is the most appropriate response by an experienced nurse?
A) "Circadian rhythms have little effect on and are affected little by psychopathology." B) "External manipulation of the light–dark cycle has little effect on mood disorders." C) "Because biological rhythms are genetically determined and unchangeable, it is of little value to study its effects on psychopathology." D) "The common finding of sleep disturbance in depression suggests circadian rhythms may be affected by or are affecting psychopathology."
An RN has called the physician to explain that the patient is having second thoughts about a procedure and would like to learn more about the alternatives before proceeding. In this instance the RN is enacting the element of the RN role known as
a. counselor. b. researcher. c. advocate. d. mentor.
A nurse records a patient's sexual history. Which comment by the patient indicates misinformation?
1. "Since I've been drinking so much, my sex life has gotten worse." 2. "Sure, I've had some depression, but that wouldn't interfere with my sex life." 3. "I've had some depression lately, and sex doesn't really interest me." 4. "I've had so much stress at work that sex doesn't seem important right now."