The nurse is preparing a subcutaneous injection for a patient. The nurse is careful not to touch which part of the syringe or needle? (Select all that apply.)
a. The needle hub
b. The needle shaft
c. The syringe outer barrel
d. The needle bevel
A, B, D
The needle hub, shaft, and bevel must remain sterile at all times.
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A child returns from exploratory abdominal surgery following a gunshot wound to the abdomen. Which of the following nursing interventions would the nurse omit from the plan of care for this child?
1. Frequent assessment of the surgical site 2. N.p.o. status until bowel sounds return 3. Monitor rectal temperature every hour. 4. Allow parents at the bedside as soon as possible.
A nurse is caring for a client with high blood pressure. The client has a sphygmomanometer at home. A family member wishes to learn how to measure blood pressure. The nurse demonstrates to the client and the family member
how to take blood pressure measurements using the sphygmomanometer. The nurse identifies which domain of learning as being addressed? A) Psychomotor domain B) Affective domain C) Cognitive domain D) Intellectual domain
The client at risk for dehydration is on strict intake and output. In addition, the client has a large draining wound. What action should the nurse take regarding fluid lost through wound drainage?
A. No action needs to be taken because wound drainage is considered insensible loss and is of no consequence. B. Estimate the amount of wound drainage by the color of the stains on the dressing. C. Weigh the dressing materials before and after the dressing change. D. Weigh the client before and after the dressing change.
Fatty acids that have two or more double carbon bonds.
A. Triglycerides B. Nitrogen balance C. Polyunsaturated fatty acids D. Resting energy expenditure