After teaching a client about the possibility of treatment failure associated with tetracycline, the nurse determines that more teaching is needed when the client states that the drug should not be administered within 1 to 3 hours of which of the
following foods?
1. Egg yolks
2. Milk
3. Red meat
4. Grapefruit juice
4
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For hand hygiene to remove transient flora from the hands, the nurse is aware that hand hygiene must be performed for at least:
a. 10 to 15 seconds c. 60 seconds b. 20 to 30 seconds d. 90 seconds
A client with mastoiditis is admitted to your unit prior to undergoing a radical mastoidectomy. What do you know is a nursing priority postoperatively?
A) Assessing for mouth droop and decreased lateral eye gaze B) Assessing for increased middle ear pressure and perforated ear drum C) Assessing for gradual onset of conductive hearing loss and nystagmus D) Assessing for scar tissue and cerumen obstructing the auditory canal
The nursing student tells a peer, "Once I begin studying, I don't dare take a break. If I stop for even 5 minutes, I know I'll never go back to studying." The peer identifies this statement as
a. negative thinking. b. random thinking. c. ruminative thinking. d. all-or-nothing thinking.
A patient diagnosed with schizophrenia reveals to the nurse that voices have warned of danger and adds, "They're so loud they frighten me. Do you hear them?" The nurse's best initial response would be:
a. "I know these voices are very real to you, but I don't hear them.". b. "Don't worry. You're safe in the hospital. I won't let anything happen to you.". c. "Tell me more about the voices. Are they men or women? How many are there?" d. "What do you do in order to keep yourself occupied so you don't hear the voices?"