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- A nurse is caring for an adolescent with severe acne. Whichrecommendations would be most appropriate to include in theteaching plan for this patient? Select all that apply.a. Wash the skin twice a day with a mild cleanser and warmwaterb. Use cosmetics liberally to cover blackheads.c. Use emollients on the area.d. Squeeze blackheads as they appear.e. Keep hair off the face and wash hair daily.f. Avoid sun-tanning booth exposure and use sunscreen.Which type of precautions should the nurse implement for the client diagnosed with septic meningitis? O a. Contact precaution O b. Standard precaution O C. Droplet precaution O d. Airbone precautionClient is suffering from influenza (period of communicability), the nurse will focus on: * 1 point Protecting the client from influenza Supporting the client’s immune system Ensuring that the client does not infect others Evaluating the client’s response to the organism
- The nurse is cleaning an open abdominal wound that hasunapproximated edges. What are accurate steps in thisprocedure? Select all that apply. a. Use standard precautions or transmission-based precau-tions when indicated. b. Moisten a sterile gauze pad or swab with the prescribedcleansing agent and squeeze out excess solution.c. Clean the wound in full or half circles beginning on theoutside and working toward the center.d. Work outward from the incision in lines that are parallel toit from the dirty area to the clean area. e. Clean to at least one inch beyond the end of the new dress-ing if one is being applied. f. Clean to at least three inches beyond the wound if a newdressing is not being applied.Riley D. is a certified medical assistant who has worked for Dr. Cormell, a dermatologist, for two years. She usually assists her in the surgical procedures performed in the office. Manuel C. is also a certified medical assistant who was hired recently. He is undergoing training with Riley because Dr. Cormell is opening a new location. Today, Riley will assist the doctor with a biopsy on a patient with a mole that changed color two months ago. Riley invited Manuel for him to observe the preparations for the procedure. She educates him on surgical handwashing and sterile gloving, and Manuel is amazed at how Riley assembles the instruments on the Mayo table for the doctor to reach out. Riley warns him not to talk or touch the table during the procedure and reminds him to put on his mask and to always keep his hands in front. The procedure is short and going well. The doctor is now preparing to suture, and Manuel is intensely observing the entire process; however, he suddenly feels the…How should the nurse treat a patient of Italian descent in order to enhance the possibility of adherence to a medical regimen to improve the patient's condition?
- The nurse is caring for a patient a toddler in the pediatric unit who is about to receive stitches for an abrasion to his upper arm. They both are concerned about the procedure being painful. What can the nurse tell both the parent and child that will alleviate the fears of pain? A. We will ask the parents to leave the room so the child will quiet down. B. We will apply topical lidocaine on the affected area prior to procedure, so he will not any pain during the procedure. C. We will administer inhaled gases for anesthesia, prior to procedure, so he will not any pain during the procedure. D. Ask the parents to stay the room and hold the child’s hand so the child will quiet down. 2. The nurse is reviewing types of anesthesia with newly student nurses during their clinical rotation. The students are correct when they state which type(s) of anesthesia is/are administered using lidocaine? (Select all that apply.) Which ones are included in balanced anesthesia? Select all that apply.…A nurse caring for patients in the PACU teaches a novicenurse how to assess and document wound drainage. Whichstatements accurately describe a characteristic of wounddrainage? Select all that apply.a. Serous drainage is composed of the clear portion of theblood and serous membranes.b. Sanguineous drainage is composed of a large number ofred blood cells and looks like blood.c. Bright red sanguineous drainage indicates fresh bleedingand darker drainage indicates older bleeding.d. Purulent drainage is composed of white blood cells, deadtissue, and bacteria.e. Purulent drainage is thin, cloudy, and watery and may havea musty or foul odor.f. Serosanguineous drainage can be dark yellow or greendepending on the causative organism.A patient who has a large abdominal wound suddenly callsout for help because she feels as though something is fallingout of her incision. Inspection reveals a gaping open woundwith tissue bulging outward. In which order should the nurseperform the following interventions? Arrange from first to last.a. Notify the physician immediately of the situation.b. Cover the exposed tissue with sterile towels moistenedwith sterile NSS.c. Place the patient in the low Fowler’s position.
- A nurse administers the wrong medication to a patient and thepatient is harmed. The physician who ordered the medicationdid not read the documentation that the patient was allergicto the drug. Which statement is true regarding liability for theadministration of the wrong medication?a. The nurse is not responsible, because the nurse was merelyfollowing the doctor’s orders.b. Only the nurse is responsible, because the nurse actuallyadministered the medication.c. Only the physician is responsible, because the physicianactually ordered the drug.d. Both the nurse and the physician are responsible for theirrespective actions.A perioperative nurse is preparing a patient for surgery fortreatment of a ruptured spleen as the result of an automobilecrash. The nurse knows that this type of surgery belongs inwhat category?a. Minor, diagnosticb. Minor, electivec. Major, emergencyd. Major, palliativeA nurse is administering a blood transfusion for a patient following surgery. During the transfusion, the patient dis-plays signs of dyspnea, dry cough, and pulmonary edema. What would be the nurse’s priority actions related to thesesymptoms?a. Slow or stop the infusion; monitor vital signs, notify thephysician, place the patient in upright position with feetdependent.b. Stop the transfusion immediately and keep the vein openwith normal saline, notify the physician stat, administerantihistamine parenterally as needed.c. Stop the transfusion immediately and keep the veinopen with normal saline, notify the physician, andtreat symptoms.d. Stop the infusion immediately, obtain a culture of thepatient’s blood, monitor vital signs, notify the physician,administer antibiotics stat.