The RN has assigned a client who has an open burn wound to the LPN. Which instruction is most important for the RN to provide the LPN?
a. Administer the prescribed tetanus toxoid vaccine.
b. Assess wounds for signs of infection.
c. Have the client cough and breathe deeply.
d. Wash hands on entering the client's room.
D
Infection can occur when microorganisms from another person or from the environment are transferred to the client. Although all of the interventions listed can help reduce the risk for in-fection, handwashing is the most effective technique for preventing infection transmission.
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The nursing staff are conducting audits in order to:
a. collect and analyze data to evaluate the effectiveness of nursing interventions. b. audit the budget of a nursing unit. c. quantify and classify the amount of nursing care administered. d. determine the number of sick days and leave days nursing personnel take.
The nurse is conducting an educational session with a patient who is newly diagnosed with diabetes. The nurse knows further education is needed when the patient states, "In the U.S.:
1. 6 million people are diagnosed with diabetes per year." 2. 25.8 million people have diabetes." 3. 18.8 million people have been diagnosed with diabetes." 4. 7 million people have diabetes but have not been diagnosed."
A patient with a history of renal calculi has been instructed to acidify his urine. The nurse would suggest intake of which foods or fluids? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. Orange juice 2. Cranberries 3. Chocolate 4. Dairy products 5. Water
A client is brought to the facility in an agitated state and is admitted to the psychiatric unit for observation and treatment. While putting personal items away, the client talks rapidly and folds and unfolds garments several times. The client can't seem to settle down. Which nursing diagnosis is most applicable at this time?
A. Disturbed personal identity B. Anxiety C. Compromised family coping D. Powerlessness