A nurse is performing an otoscopic examination of an adult. Put the following in the correct order of assessment:
A. Wash hands.
B. Pull the pinna up and back.
C. Explain the procedure to the client.
D. Hold the otoscope upside down.
E. Using caution, slowly insert the speculum.
F. Title the client's head away.G. Place examiner's fingers/hand against the client's cheek
H. Document findings.
A, C, F, D, G, B, E, H
Rationale: Correct assessment facilitates the examination and decreases risk for the client.
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The nursing supervisor is assessing a unit that has received several written complaints. The nurse manager seems overwhelmed and stressed trying to address many client situations. The charge nurse is trying to help everyone at once
Based on this assessment, what might this supervisor conclude? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The nurse manager is inexperienced and needs time to adjust. 2. The unit culture may foster distrust and poor communication among staff. 3. Client complaints are usually an indicator of a larger unit problem. 4. Nurses on the unit are in need of additional training and skills. 5. The unit is short staffed.
What clinical manifestations suggest hydrocephalus in an infant?
a. Closed fontanel and high-pitched cry b. Bulging fontanel and dilated scalp veins c. Constant low-pitched cry and restlessness d. Depressed fontanel and decreased blood pressure
Electrolytes are essential for many body functions, and require a
1. wide level range. 2. low level range. 3. narrow level range. 4. high level range.
Factors that must be considered as causes of outbreak are categorized as agents, hosts, and environmental factors. There are several types of agents. Viruses, fungi, and parasites are considered:
1. Physical agents 2. Chemical agents 3. Biological agents 4. Nutrients