A nurse is connecting an intermittent infusion of cefazolin antibiotic to a peripheral IV site. What should the nurse do first?
A. flushing using pulsing, positive pressure
B. irrigate the line with 3 mL of sterile, preservative free sodium chloride
C. wipe the needleless connector for 15 seconds with mechanical friction
D. flush with filuted heparin to prevent clotting in the line.
Answer: C. wipe the needleless connector for 15 seconds with mechanical friction
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An hour after birth, the nurse assesses a newborn's temperature and notes that it is 36.2° C (97.2° F). The next activity planned for the newborn is the bath, and the new mother and father are invited to participate in the procedure
What is the nurse's next action? a. Take the infant's temperature rectally. b. Ask the father to test the water to determine if it is too hot. c. Delay the bath until the newborn's temperature is above 36.7° C (98° F). d. Explain to the new parents that no soap should be used to cleanse the eyes.
The nurse is providing preoperative teaching to a patient scheduled for a subtotal thyroidectomy. What should the nurse include in these instructions?
1. Report sensations of tingling in toes, fingers, or lips. 2. Report signs of constipation. 3. Report the improvement of hoarseness. 4. Take aspirin before the surgery.
The nurse is assisting a postoperative patient in using an incentive spirometer. Which postoperative complication is the nurse attempting to avoid?
1. Atelectasis 2. Deep vein thrombosis 3. Hemorrhage 4. Pulmonary embolism
A patient diagnosed with disorganized schizophrenia says, "It's beat. Time to eat. No room for the cat." What type of verbalization is evident?
a. Neologism b. Idea of reference c. Thought broadcasting d. Associative looseness