Author Question: Training schools for nurses were established in the United States after the Civil War. The standards ... (Read 73 times)

Jramos095 · **on:** Jul 22, 2018

Training schools for nurses were established in the United States after the Civil War. The standards of US schools deviated from those of Nightingale paradigm.

Which of the following statements is true about US training schools during this period of history? A) Training schools were affiliated with a few select hospitals.
B) Training of nurses provided no financial advantages to the hospital.
C) Training was formal, based on scientific nursing care.
D) Training schools eliminated the need to pay employees.

Question 2

The nurse is caring for an 84-year-old patient who gets hemodialysis 3 days a week. He is taking corticosteroids and has multiple bruises on his extremities. The patient needs an IV started. When starting the IV, the nurse should:

a. attempt to start the IV in the dorsum of the patient's hand.
b. avoid areas of skin that are red and warm to the touch.
c. use the arm on the side of the patient's dialysis fistula.
d. start the IV in the patient's foot after pa-tient teaching.

scottmt · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

D
Feedback:
Training schools in the United States profited by eliminating the need to pay employees because students worked without pay in return for training, which usually consisted of chores. US training schools were established by any hospital. There was no formal training; training was an outcome of work, which eliminated the need to pay employees. Nightingale training schools were affiliated with a few select hospitals, training of nurses provided no financial advantages to the hospital, and the training was formal, based on nursing care.

Answer to Question 2

B
When assessing patients for potential venipuncture sites, consider conditions that exclude certain sites. For example, because older adults and patients receiving corticosteroids have fragile veins, avoid sites that are easily bumped or moved, such as the dorsal surface of the hand. Venipuncture is contraindicated in a site that has signs of inflammation, infiltration, or thrombosis. An infected site is red, tender, swollen, and possibly warm to the touch. Avoid using an extremity with a vascular (dialysis) graft or fistula or on the same side as a mastectomy (breast surgery). Intravenous insertion in a foot vein is used with children but should be avoided in adults because of the danger of thrombophlebitis.