A patient with an intravenous infusion requests a new gown after bathing. Which of the following actions is most appropriate?

a. Disconnect the intravenous tubing, thread the end through the sleeve of the old gown and through the sleeve of the new gown, and reconnect.
b. Thread the intravenous bag and tubing through the sleeve of the old gown and through the sleeve of the new gown without disconnecting.
c. Inform the patient that a new gown is not an option while receiving an intravenous infusion in the hospital.
d. Call the charge nurse for assistance because linen use is monitored and this is not a common procedure.


B
Procedure-related accidents such as contamination of sterile items can occur in the health care setting. Keeping the intravenous tubing intact without breaks in the system is imperative to decrease the risk of infection while changing a patient's gown and satisfying the patient's request.

Nursing

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A nurse is involved in primary prevention activities related to the promotion of respiratory health. The nurse is involved in which of the following activities? (Select all that apply.)

a. Organizing an influenza vaccination clinic b. Promoting a smoking cessation program in the community c. Referring individuals with respiratory disease to the pulmonology clinic at the hospital d. Visiting a congressman representative to advocate for legislation on clean air e. Teaching individuals with COPD measures to maximize lung function

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Assuming that midline epigastric pain is caused by a stimulus acting on an abdominal organ, the pain felt is classified as:

a. visceral. b. somatic. c. parietal. d. referred.

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A patient being treated for a stage 3 pressure injury is demonstrating delayed healing. What information in the patient's medical record and history would explain this delay? Select all that apply.

A. The patient was diagnosed with peripheral vascular disease 5 years ago. B. The patient takes acetaminophen 650 mg twice a day for arthritis pain. C. The patient was prescribed steroids for treatment of chronic lung condition. D. The patient takes insulin for control of type 2 diabetes mellitus. E. The patient had total knee replacement 7 years ago.

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The nurse is providing care for a patient who is to start receiving immunotherapy for severe environmental allergies. Which of the following should the nurse reinforce for patient and family education? (Select all that apply.)

a. "You will need to remain in the clinic for half an hour after your shot in case you have any reaction." b. "The shots have medicine that helps slow down your immune system so you aren't sick all the time." c. "You will have to have shots about once a month for the treatment to work." d. "Reactions can occur up to 24 hours after the injection, so it is important to watch for any problems." e. "Small amounts of things you are allergic to are being given in the shot so your body can become less sensitive to them." f. "After the first shot, we'll be able to teach you how to give your own allergy shots at home."

Nursing