Author Question: Having misplaced his stethoscope, a nurse borrows a colleague's stethoscope. He next enters the ... (Read 147 times)

fahad · **on:** Jul 23, 2018

Having misplaced his stethoscope, a nurse borrows a colleague's stethoscope. He next enters the patient's room and identifies himself, washes his hands with soap, and states the purpose of his visit.

He performs proper identification of the patient before he auscultates her lungs. Which critical health assessment step was not performed?
a. Running warm water over stethoscope for patient comfort
b. Cleaning stethoscope with Betadine
c. Using alcohol-based hand disinfectant
d. Cleaning stethoscope with alcohol

Question 2

A nurse is a preceptor for a nurse who just graduated from nursing school. When caring for a patient, the new graduate nurse begins to explain to the patient the purpose of completing a physical assessment.

Which of the following statements made by the new graduate nurse requires the preceptor to intervene?
a. I will use the information from my assessment to figure out if your antihypertensive medication is working effectively.
b. Nursing assessment data are used only to provide information about the effectiveness of your medical care.
c. Nurses use data from their patient's physical assessment to determine a patient's educational needs.
d. Information gained from physical assessment helps nurses better understand their patients' emotional needs.

Question 3

When recording the patient's respiratory status, what must be recorded? (Select all that apply.)

a. Respiratory rate
b. Character of respirations
c. Amount of oxygen therapy
d. Only normal findings
e. Only in the graphic section

lucas dlamini · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: D
Bacteria and viruses can be transferred from patient to patient when a stethoscope that is not clean is used. The stethoscope should be cleaned before use on each patient. Running water over the stethoscope does not kill bacteria. Betadine is an inappropriate cleaning solution and may damage the equipment. Hand sanitizer is not an approved cleaning product.

Answer to Question 2

Thanks for the answer, I sent you a forum message for another one.

Answer to Question 3

ANS: A, B, C
Record respiratory rate and character in nurses' notes or on vital sign flow sheet. Indicate type and amount of oxygen therapy if used during assessment. Document respiratory assessment after administration of specific therapies in narrative form in nurses' notes. The nurse should document normal and abnormal findings.