A client's adult child greets the home care nurse at the entrance of the client's home. The adult child asks the nurse about the mother's condition. What
... [Show More] should the nurse reply?
"I'll need to get your mother's permission before I can share information with you."
The nurse provides care for a client in an outpatient clinic who reports vaginal itching. What recommendation to the pt by the nurse is appropriate?
"Wear underwear that is lined with a cotton crotch."
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The circulating nurse assesses a pt's care during the peri-operative period. What surgery staff action, observed by the nurse, requires follow up? (Select all)
Surgical nurse #1 removes their hair cap
Surgical nurse #2 shaved the pt's hair at the operative site
(Pt's hair should be clipped, shaving increases the risk of infection)
The surgical assistant's shirt is outside the pants
Surgical nurse #3 reports a cough
Surgical nurse #4 has acrylic nails
What task does the nurse properly delegate to the UAP? (Select all)
*Determine whether pain med is effective
*Measure the diameter of the pt's calf
*Obtain midstream urine specimen
*Cleanse a superficial wound with an antiseptic solution
*Measure a pt's rectal temp
*Provide d/c paperwork to a pt prior to d/c
Measure the diameter of the pt's calf
Obtain a midstream urine specimen
Cleanse a superficial wound with an antiseptic solution
Measure a pt's rectal temp
The ED triage nurse has a limited number of open beds. What pt does the nurse place in the emergency bed? (Select all)
* 17 y.o who intentionally ingested 15 acetaminophen tabs prior to arrival
* 24 y.o pt who reports dental pain, rating pain 10/10 on pain scale
* 63 y.o pt who reports severe, localized H/A with no history of H/A
* 77 y.o pt who has generalized weakness for the past day
* 88 y.o pt who has a rash, and whose spouse is being treated with permethrin cream.
* 92 y.o pt who is requesting suture removal, with dehiscence noted at site.
17 y.o who ingested acetaminophen
(pt requires activated charcoal and possible administration of acetylcysteine)
63 y.o reporting H/A without history
(Requires head CT to rule out hemorrhage)
77 y.o who has generalized weakness for the past day
(Requires assessment and diagnostic work-up to exclude MI, electrolyte imbalance, and stroke) [Show Less]