Answer to Question 1
ANS: A
The nurse needs to assess the patient's skin. Assessment should not be delegated; it is the responsibility of the licensed professional nurse. The nurse needs to document the assessment findings objectively, not subjectively per the nursing assistant. Before requesting a consult or determining treatment, the nurse needs to assess the skin.
Answer to Question 2
ANS: C
The nurse needs to intervene if observing the technician taking an oral temperature after consuming any type of beverage because of the potential for a temperature difference in the liquid that may affect the patient's measured temperature. The other options are appropriate.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Colostomy sites (blue area is where colon was removed).
Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of
ROM exercises on a patient’s wrist: radial deviation.
Foundations of Maternal-Newborn Nursing 4th Edition
The forces of diffusion and electrostatic pressure. (a) In diffusion, solutes move from an area of h