Answer to Question 1
B
B. Instruct client to always turn cold water on first, which prevents direct exposure to hot water.
A. Have setting on hot water heater adjusted to 120 F or lower. Scalds are typically caused from bathing and showering when hot water tank temperatures are in excess of 140 F or 60 C.
C. Secure all carpeting, mats, and tile; place nonskid backing under small rugs and door mats. This reduces chance of client slipping when stepping on rug surface. Loose area rugs should be securely attached to floor and not placed over carpeting. (For best safety, consider removal of throw rugs.)
D. Have client check lightbulb wattage in all fixtures to ensure proper wattage is being used.
Answer to Question 2
D
Apply moist, fine-mesh, open-weave gauze as a single layer directly onto the wound surface. If the wound is deep, gently pack the gauze into the wound with a sterile gloved hand or forceps until all wound surfaces are in contact with the moist gauze. Be sure that the gauze does not touch periwound skin. Moisture that escapes the dressing often macerates the periwound area. The gauze should be saturated with the prescribed solution, wrung out, unfolded, and lightly packed into the wound. Overpacking the wound may cause pressure on tissue in the wound bed.
Testing Visual Fields by Confrontation: The nurse and patient should be approximately at an eye to e
Client position when assessing jugular vein distention.
NURSE CARING BEHAVIORS AS
Structures formed by phospholipids in an aqueous environment: Micelle
Nurse using a stethoscope
Testing client’s ability to identify sharp sensations