The nurse prepares to initiate a continuous subcutaneous injection (CSCI). Rank the nursing interventions in order

1. Insert the needle at 45- to 90-degree angle.
2. Connect needle's tubing to pump's tubing.
3. Cleanse site with alcohol and chlorhexidine.
4. Apply occlusive dressing over insertion site.


3, 1, 4, 2
3. After selecting a suitable site, the nurse prepares the skin with alcohol and chlor-hexidine to reduce the risk of infection. Allow the cleansing agents to dry by letting the agents evaporate; avoid trying to speed up the process.
1. The nurse inserts a butterfly needle at a 45-degree angle or a prepackaged needle at 90 degrees according to the manufacturer's direction to place the needle.
4. The nurse covers the insertion site with a transparent occlusive dressing so the nurse can assess the site as often as necessary for infection or other complications.
2. Finally, the nurse connects the tubing from the needle and the pump to initiate the infusion.

Nursing

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While walking past a patient's room, you overhear one of the RN staff telling a patient that the patient has no right to refuse chemotherapy treatment because the family and the doctor think the treatment is the best option for the patient

This patient is 40 years of age and alert. When you meet later to discuss what you heard with the RN, it is important to: a. Discuss how statute law enforces the right of the doctor, but not of families, to en-sure that patients comply with recom-mended treatment plans. b. Discuss that statute law provides for pa-tient autonomy and refusal of treatment. c. Remind the nurse to provide clearer ex-planations to aid in the patient's compre-hension of the treatment and compliance. d. Acknowledge the nurse's role in ensuring that she does not fail in her duty of care for the patient.

Nursing

When delegating nursing tasks to other team members, it is most important for the registered nurse to:

a. consider whether the team member likes doing the tasks being delegated. b. assign a deadline for each task to be accomplished. c. only assign nursing care tasks to unlicensed personnel. d. remember that the registered nurse remains accountable for appropriate delegation and supervision of tasks.

Nursing

In Van Manen's approach, this involves efforts to grasp the essential meaning of the experience being studied, researchers search for themes. What is the holistic approach?

A) Find common patterns of experiences shared by particular instances. B) Viewing text as a whole. C) Pulling out key statements and phrases. D) Analyzing every sentence in the analysis

Nursing

The client has an order for intravenous (IV) fluids. The normal saline, an isotonic solution, is ordered. The nurse knows that an isotonic solution:

A) contains the same osmotic pressure. B) is stronger than opposing sides of a membrane. C) contains the same hydrostatic pressure. D) is weaker than opposing sides of a membrane.

Nursing