The nurse is developing a plan of care for the client with leukemia who is experiencing neutropenia as a result of chemotherapy. The nurse plans to:
1. Restrict all visitors.
2. Restrict fluid intake.
3. Teach the client and family about the need for hand hygiene.
4. Insert an indwelling urinary catheter to prevent skin breakdown.
3. Teach the client and family about the need for hand hygiene.
Rationale:
In the neutropenic client, meticulous hand hygiene education is implemented for the client, family, and staff. Not all visitors are restricted, but the client is protected from persons with any known infection. Fluid intake should be encouraged. Invasive procedures such as indwelling catheters should be avoided.
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Manipulative use of reward power turns into:
1. coercion. 2. anger. 3. frustration. 4. powerlessness.
A male client experiencing infertility is asking the nurse for suggestions to improve his sperm count. One of the suggestions the nurse makes is to:
a. relax once a week in a hot tub or sauna b. relax on the couch with the laptop computer on the client's lap c. wear loose fitting undershorts d. ignore an untreated hormonal imbalance
You are working with a plastic surgeon as the instrument nurse. Your patient is a young model who is having numerous skin lesions excised from her face and neck. Towards the end of the procedure, the surgical assistant is called away to see a patient in the emergency department. You are preparing for the count of instruments and needles with your circulating nurse. The surgeon asks if you are
able to hold the skin hooks to retract the patient's skin. It is the final lesion to be excised and it is on the patient's cheek close to her eye. 1. How will you manage this situation? Provide reasons for your response. Answer: Appropriate responses include: As instrument nurse, you are responsible for the count of instruments and needles with your circulating nurse and should not be interrupted in this process. Assisting surgery is an advanced practice role. Retraction may be a role responsibility of the perioperative nurse surgeon's assistant and/or a nurse practitioner. It may be appropriate for the instrument nurse to assist the surgeon in some situations; however, the specific nature of the assistance needs to be within the scope of practice of the nurses within that facility in general (and preferably documented in policy). In addition, the individual instrument nurse needs to be competent in the skill before agreeing to assist, otherwise should inform the surgeon that the skill is outside their individual scope of practice. An untrained assistant may be increasing the risks to the patient, who in this case is a young model having plastic surgery to her face. These risks include skin and nerve damage as well as damage to her eye by a misplaced skin hook. You have completed your first count and the surgeon is now preparing to suture two remaining incisions on the patient's face, including the incision near the eye. What will be an ideal response?
The reason prepubescent girls are more susceptible to vulvovaginitis is because:
1. Of the lack of knowledge on keeping the periarea clean. 2. This age range tends to have more wetness in the area. 3. This age range has a higher incidence of placing a foreign body into the vaginal canal. 4. This age range wears cotton underwear.