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A series of questions and answers related to nursing concepts and practices. It covers topics such as cultural aspects of client care, violent behavior in mental health facilities, subcutaneous injections, fibromyalgia treatment, and wound healing in older adults. The questions are designed to test the knowledge of nursing students and professionals and provide explanations and rationales for the correct answers.
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A charge nurse is educating unit staff about the cultural aspects of client care following death. What statement by an assistive personnel indicates an understanding of the teaching?
Post void residuals 0620: 22ml 1630: 18ml 2330: 40ml - ANSThe first action the nurse should take when using the nursing process is assessment. The nurse should obtain a urine specimen from the client to rule out a urinary tract infection. If it is determined the client has RBCs and/or WBCs in the urine, the specimen will require a culture. If it is determined that the client has a UTI, this will require treatment before any further assessment of incontinence would be indicated. The nurse should instruct the parent to wash the child's clothing in hot water and detergent after exposure to the poison ivy plant. This will remove the oil, urushiol, which causes the skin reaction. - ANS1. First, the nurse should assist the client into high Fowler's position or raise the head of the bed at least 30° to help prevent aspiration.