The nurse is preparing to assess a hospitalized patient who is experiencing significant shortness of breath. How should the nurse proceed with the assessment?
a. The patient should lie down to obtain an accurate cardiac, respiratory, and abdominal assessment.
b. A thorough history and physical assessment information should be obtained from the patient's family member.
c. A complete history and physical assessment should be immediately performed to obtain baseline information.
d. Body areas appropriate to the problem should be examined and then the assessment completed after the problem has resolved.
Question 2
Which of these statements is true regarding the use of Standard Precautions in the health care setting?
a. Standard Precautions apply to all body fluids, including sweat.
b. Use alcohol-based hand rub if hands are visibly dirty.
c. Standard Precautions are intended for use with all patients, regardless of their risk or presumed infection status.
d. Standard Precautions are to be used only when nonintact skin, excretions containing visible blood, or expected contact with mucous membranes is present.
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