The nurse is preparing to draw blood from a client who states, "Oh, I hate needles. I hope I don't faint this time." The nurse should take which actions?
1. Have another nurse present.
2. Be sure to have aromatic spirits available.
3. Keep the client distracted while drawing the blood.
4. Ensure that the client is in a recumbent position.
Answer: 4
1. A phobia of blood or needles frequently results in a vasovagal response, which can lead to loss of consciousness. The recumbent position offers the best safety option.
2. A phobia of blood or needles frequently results in a vasovagal response, which can lead to loss of consciousness. The recumbent position offers the best safety option.
3. A phobia of blood or needles frequently results in a vasovagal response, which can lead to loss of consciousness. The recumbent position offers the best safety option.
4. A phobia of blood or needles frequently results in a vasovagal response, which can lead to loss of consciousness. The recumbent position offers the best safety option.
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In this procedure, an ultrasonic probe inserted through a nephrostomy tube into the renal pelvis generates ultrahigh-frequency sound waves to shatter renal calculi. The nurse should instruct the patient to: A) Limit oral fluid intake for 1 to 2 weeks. B) Report the presence of fine, sand-like particles through the nephrostomy tube. C) Notify the physician about cloudy or foul-smelling urine. D) Report bright pink urine within 24 hours after the procedure.
What nursing consideration is most important in the care of a child on a mechanical ventilator?
a. Humidification is not necessary. b. Respiratory assessment is done by the ventilator. c. Positioning the child for comfort and optimum ventilation is necessary. d. Support and reassurance are not as important because the child is unconscious.
The test of competence can be found in which of the following sections of the Mental Capacity Act 2005?
a. Section 1 b. Section 2 c. Section 3 d. Section 4
When mixing additives to an IV solution, checking for compatibility is essential because incompatibility of additives
A. requires less base solution. B. requires additional base solution. C. is more expensive. D. may compromise the patient's health status.