Answer to Question 1
A
Epistaxis requires the use of standard or universal precautions to prevent exposure to blood-borne pathogens. Protective equipment includes the use of gloves, goggles or face mask, and gown.
Answer to Question 2
B
Feedback:
The nurse should document the pain as phantom pain, a type of neuropathic pain that is often experienced days, weeks, or even months after the source of the pain has been treated and resolved. The client perceives that the amputated limb still exists and feels burning, itching, and deep pain in tissues that have been surgically removed. The client is not experiencing referred pain, visceral pain, or cutaneous pain. Visceral pain is associated with disease or injury. Referred pain is not experienced in the exact site where an organ is located. Cutaneous pain originates at the skin level, and is a commonly experienced sensation resulting from some form of trauma.
Critical thinking involves analysis in which the nurse examines patient data available from a variet
Example of simplified note for one-time client.
Nurse using a stethoscope
Testing patellar reflex, client in a sitting position
Client positioned and draped
Client is positioned