The male client states that his back is itching. Which should the nurse implement to relieve the client's discomfort?
1. Administer an anti-itch cream.
2. Assess the client's skin condition.
3. Remind the client to shift positions.
4. State that hospital sheets are scratchy.
2
2. The nurse addresses the client's itchy back by inspecting and assessing the client's back for hives, a rash, or redness; then the nurse uses the data to formulate a plan of care to relieve the itching.
1 and 3. The nurse does not have complete client data to justify administering an an-ti-itch cream or recommend shifting positions until the nurse assesses the back.
4. Hospital sheets should not be scratchy because stiff sheets increase the risk of skin irritation and breakdown.
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The nurse works in a facility whose policy requires an antiseptic hand rub instead of a surgical scrub when performing surgical hand asepsis. Which are known advantages of the hand rub over the scrub?
Select all that apply. 1. Less harmful to the skin 2. Does not require the use of a brush 3. Contains ingredients that help to protect the skin 4. Takes longer to perform 5. Contains alcohol, which could dry the skin
At what age do most children have an adult concept of death as being inevitable, universal, and irreversible?
a. 4 to 5 years b. 6 to 8 years c. 9 to 11 years d. 12 to 16 years
Tarry black stools should make you suspect:
a. internal hemorrhoids. b. rectal fistula. c. upper intestinal bleeding. d. prostatic cancer.
Which, if any, of the following are not criteria for analyzing the propriety of nurse/patient interactions?
1. The interaction is in keeping with objectives of the hospitalization. 2. The interaction makes the patient/family happy. 3. The interaction is consistent with the mission, vision, values of the hospital. 4. None of the above