A nurse is preparing a continuous intravenous (IV) infusion at the medication cart. As the nurse goes to attach the IV tubing port to the solution bag, the tubing drops, hitting the top of the medication cart. Which action should the nurse take to maintain asepsis?
A. Obtaining new IV tubing
B. Obtaining a new IV solution bag
C. Scrubbing the tubing port with an alcohol swab
D. Wiping the tubing port with povidone-iodine solution (Betadine)
Ans: A. Obtaining new IV tubing
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The nurse is providing care to several clients on a medical-surgical unit. Which client does not have a contraindication for the use of antiemboli stockings?
1. Client with massive leg edema 2. Client with peripheral arterial disease 3. Obese client whose thigh measurement exceeds the largest size available 4. Postoperative client ordered to maintain complete bed rest
A patient with a T2 injury is in spinal shock. The nurse will expect to observe what assessment finding?
A) Absence of reflexes along with flaccid extremities B) Positive Babinski's reflex along with spastic extremities C) Hyperreflexia along with spastic extremities D) Spasticity of all four extremities
Emergency medical services (EMS) brings a large number of clients to the emergency department following a mass casualty incident. The nurse identifies clients with which injuries with yellow tags? (Select all that apply.)
a. Partial-thickness burns covering both legs b. Open fractures of both legs with absent pedal pulses c. Neck injury and numbness of both legs d. Small pieces of shrapnel embedded in both eyes e. Head injury and difficult to arouse f. Bruising and pain in the right lower ab-domen
Which bronchial structure(s) is(are) most susceptible to aspiration of foreign bodies?
a. Left mainstem bronchus b. Terminal bronchioles c. Right mainstem bronchus d. Respiratory bronchioles