The surgical report of a newly transferred client indicates that there was a great deal of intestinal spillage into the abdominal cavity during the client's bowel resection. For which category of wound should the receiving nurse plan care?
A)
Clean-contaminated
B)
Dirty
C)
Infected
D)
Contaminated
D
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The nurse has made a claim of sexual harassment against a coworker. What evidence must this nurse present?
1. The sexual advances occurred over a period of at least 6 weeks. 2. The conduct was explicit and was a condition of employment. 3. There was psychological damage from the conduct. 4. The actions created a hostile or abusive environment.
A client is 24 hours postoperative after a tracheostomy has been performed. The nurse finds the client cyanotic, with the tracheostomy tube lying on his chest. Which action by the nurse takes priority?
a. Auscultate breath sounds bilaterally. b. Ventilate with a resuscitation bag and mask. c. Call a code or the Rapid Response Team. d. Insert a new obturator into the neck.
A patient presents with a complaint of dark stools and epigastric pain described as gnawing and burning. Which of the medications is the most likely cause?
1. Acetaminophen 2. Estradiol 3. Donepezil 4. Bethanechol
The nurse is preparing a presentation to student nurses who will be working with clients who have gender identity issues or sexual problems. The nurse will discuss providing clients with accurate and concise sex information
Annon's PLISSIT model classifies this as the: A) Specific suggestions level of intervention. B) Intensive therapy level of intervention. C) Permission giving level of intervention. D) Limited information level of intervention.