After delegating to an unlicensed assistive personnel (UAP) the task of completing a bladder scan examination for a client, the nurse evaluates the UAP's performance
Which action by the UAP indicates the nurse must provide additional instructions when delegating this task?
a.
Selecting the female icon for all female clients and male icon for all male clients
b.
Telling the client, "This test measures the amount of urine in your bladder."
c.
Applying ultrasound gel to the scanning head and removing it when finished
d.
Taking at least two readings using the aiming icon to place the scanning head
ANS: A
The UAP should use the female icon for women who have not had a hysterectomy. This allows the scanner to subtract the volume of the uterus from readings. If a woman has had a hysterectomy, the UAP should choose the male icon. The UAP should explain the procedure to the client, apply gel to the scanning head and clean it after use, and take at least two readings.
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A nurse practitioner is assessing a 7-year-old boy who has been brought to the clinic by his mother, who is concerned about her son's increasingly frequent, severe headaches
Which of the nurse's following questions is least likely to yield data that will allow for a confirmation or ruling out of migraines as the cause of his problem? A) "Does your son have a family history of migraines?" B) "When your son has a headache, does he ever have nausea and vomiting as well?" C) "Does your son have any food allergies that have been identified?" D) "Is your son generally pain free during the intervals between headaches?"
The population health nurse came to work in the nursery after being sick for 24 hours with an elevated temperature and diarrhea. After working the 12-hour shift, several of the newborns showed the same symptoms. This best describes a(n):
1. Communicable disease. 2. Epidemic. 3. Outbreak. 4. Nosocomial infection.
The checkout station for preparticipation physical evaluation is critical because at this point:
a. all completed forms are distributed. b. parental signatures are obtained. c. the relevant history is obtained. d. the coordination of follow-ups is re-viewed.
A patient diagnosed with moderately severe Alzheimer's disease has a self-care deficit of dressing and grooming. Designate appropriate interventions to include in the patient's plan of care. Select all that apply
a. Provide clothing with elastic and hook-and-loop closures. b. Label clothing with the patient's name and name of the item. c. Administer anti-anxiety medication before bathing and dressing. d. Provide necessary items and direct the patient to proceed independently. e. If the patient resists dressing, use distraction and try again after a short interval.