What does the nurse teach the patient and caregiver to do when setting up and changing administration sets for continuous tube feedings to preserve medical asepsis?
a. Add formula to formula already hung to prevent waste.
b. Store unused formula at room temperature to prevent spasm.
c. Hang only enough formula that will be infused in a 4- to 6-hour period.
d. Change the administration set every 48 hours.
C
Limit the amount of formula "hung" at one time to an amount that can be infused in a 4- to 6-hour period (less time in warmer weather to minimize risk for microorganism contamination). Do not add formula to a hanging bag. Using refrigeration and limiting "hang" time reduce microorganisms. Changing administration sets every 24 hours reduces microorganism growth.
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Even though a nursing assistant notices that an older patient's oral intake has been poor since being admitted to the care area, the assistant is not concerned since "older people don't need to eat much anyway."
How should the nurse respond to this assistant's comment? A) "That's a myth actually; older adults have increased caloric and nutritional needs.". B) "Actually, older adults who are sick require more calories than younger people do during their recovery.". C) "You're right, but it's still important that we provide vitamin supplements especially when a patient is recovering from an illness.". D) "Even though it is true that older people don't need quite as many calories as younger people, they need as many nutrients as you or I.".
The nurse is teaching an unlicensed assistive personnel (UAP) on potential approaches for dealing with difficult clients. The nurse recognizes that additional teaching is required when the UAP states
a. "I will be assertive by conveying my irritation toward the client's behavior." b. "I will collaborate with staff so we all use the same uniform approach when responding to the client's demands." c. "I will promote trust in the client by providing immediate feedback." d. "I will explain to the client the limits of my role as an UAP."
Which of the following actions represents primary prevention by the nurse who wishes to be a good community member?
a. Encouraging limitation of activity when air pollution is high b. Obtaining occupational health histories for all new clinic admissions c. Screening toddlers attending the clinic for lead poisoning d. Supporting programs for waste reduction and recycling
A psychiatric–mental health nurse is preparing a presentation about recovery for a group of newly hired nurses at a mental health facility. Which of the following would the nurse identify as one of the most important concepts?
A) Self-direction B) Peer support C) Respect D) Hope