med surg captsone

a nurse is providing teaching to a pt who is scheduled for exercise electrocardiography, what statements by the pt indicate understanding x

a nurse is providing teaching to a pt who is scheduled for exercise electrocardiography, what statements by the pt indicate understanding i should avoid caffeinated beverages on the day of the test

a nurse is caring for a pt who has a history of tonic clonic seizures, what precuation should the nurse take? a. keep a suction apparatus at the bedside, b. keep the bed in the lowest position, c.keep oxygen equipment at the bedside d. use tongue blade e. safety restrants near bedside

a. keep a suction apparatus at the bedside, b. keep the bed in the lowest position, c.keep oxygen equipment at the bedside

a nurse is providing discharge teaching to a pt who had a colposcopy with cervical biopsy, what instruction should the nurse provide

avoid the use of aspirin for cramping discomfort

a nurse is providing teaching to a pt who is newly diagnosed with nephrotic syndrome, what statement should indicate to the nurse that the pt understands the teaching

i can expect swelling in my hands and on my face

a nurse is planning care for a client who has acute post-streptococcal glomerulonephritis, what interventions should the nurse include in the pt's plan of care a. encourage high protein diet b. administer diuretics to the client c increase flients fluid d. weight the client

b. administer diuretics to the client

a home health nurse is providing teaching to a family of a client who has a seizure disorder. what should be included in the teaching? a. administer dizaepam b. position the client on their side during the seizure c. pillow under the clients head d. padded tongue in the room

b. position the client on their side during the seizure

a nurse is assessing a pt who has a heart rate of 40/min, the pt is diaphoretic and has chest pain, what medication should the nurse plan to administer a. lidocaine b. adenosine c. atropine d. verapmil

c. atropine

a nurse is teaching a pt about fecal occult blood testing (FOBT) for the screening of colorectal cancer, what statement should the nurse include in the teaching a. your provider will use stool from your digital rectal examination to perform the test b. your provider will prescribe a stimulate laxative prior to the procedure to evacuate the bowel c. you should avoid taking corticosteroids prior to testing d. you should began annual fecal oscular blood testing

c. you should avoid taking corticosteroids prior to testing

a nurse is teaching a pt who has a hiatal hernia about dietary selections to maintain lower esophageal sphincter (LES) pressure, what choice by the pt indicates understanding

cheddar cheese

a nurse is caring for pt who has acute gastritis and is NPO, the pt has a new prescription to resume oral intake, what item should the nurse offer the pt a. lemonade b. tomato soup c. black coffee d. gelatin

d. gelatin

a nurse is assessing a pt who has GB syndrome, what should the nurse report to the provider immediately

decreasing voice volume

a nurse is providing discharge instructions to a pt who has a new AV fistula to the right forearm for hemodialysis, what statement should the nurse include

keep the right arm elevated above the level of your heart

a nurse is providing dietary teaching to a pt who has chronic cholecystitis, what diet should the nurse recommend low-fat diet high fat diet low carbs high carbs

low-fat diet

a home health nurse is caring for a pt who has COPD and is on home oxygen at 2L/min via nasal cannula, the pt tells the nurse that she is experiencing difficulty breathing, what action should the nurse take first

observe the pt's respiratory effort

a nurse is providing discharge instructions to a pt who is to perform dressing changes to an incision at home, what statements by the pt indicates an understanding of the teaching

"I should wash my hands before both removing and applying the dressing"

a nurse is teaching a pt about weight loss promotion following a laparoscopic adjustable gastric banding procedure, what statement by the pt indicates an understanding of the teaching

"i will eat six small meals throughout the day after this procedure"

A nurse is providing teaching to the caregivers of a client who has Alzheimer's disease. Which of the following instructions should the nurse give? (Select all that apply.) 1. Install safety locks and alarm systems. 2. Place nightlights throughout the home. 3. Replace carpeted flooring with tile.Establish a predictable daily routine for the client. 4. Remind the client of scheduled activities 1 day in advance.

1. install safety locks and alarm systems 2. place nightlights throughout the home 4. establish a predictable daily routine for the client

a nurse is teaching a client who has hypertension about dietary modifications to help control BP, what food choices should the nurse recommend 3 oz of chicken breast yogurt orange juice pasta

3 oz of chicken breast

a nurse is planning care for a client who has meniere disease and he is experiencing episodes of vertical. which of the following intervention should the nurse include in the plane of care? 1. maintain strict bed rest 2. restrict fluid intake to the morning hours 3. administer aspirin 4. provide a low sodium diet

4. provide low sodium diet

a nurse is caring for a pt who has SIADH (Syndrome of inappropriate antidiuretic hormone) , and is receiving 3% sodium chloride via continuous IV, what lab findings should the nurse identify as an indication the SIADH is resolving 1. bp 2. hr 3. temperature 4. urine specific gravity of 1.020

4. urine specific gravity of 1.020

a nurse is caring for an adult client who asks about vaccinations against communicable diseases, the nurse should inform the client that which of the following vaccines are available a. Hep A, b. Hep B, c. Pneumococcal d. Covid e. hep C

a. Hep A, b. Hep B, c. Pneumococcal

a nurse is teaching a pt who has a new diagnosis of polycystic kidney disease, what statement should the nurse include in the teaching a. apply dry heat to your abdomen when needed b. check your weight once per week c. reduce your dietary beer intake d. take aspirin as needed to reduce the pain

a. apply dry heat to your abdomen when needed

a nurse is providing teaching to a pt who had a bone marrow biopsy taken from her iliac crest, what information should the nurse include in the teaching a. apply ice to the incision site b. avoid taking warm baths following the procedure c. lie on back during procedure d. receive general anesthesia

a. apply ice to the incision site b. avoid taking warm baths following the procedure

a nurse is reviewing the med record of a pt who has unstable angina, what finding should the nurse report to the provider a. breath sounds b. heart sounds c. temperature d. blood pressure e. creatine kinase

a. breath sounds

a nurse is assessing a pt who has right lower lobe pneumonia, what finding should the nurse expect? a. dull percussion sounds b. increased anterior posterior chest diameter c. distended neck veins d. pitting edema

a. dull percussion sounds

a nurse is providing teaching to a pt who reports a possible exposure to HIV, what finding would the nurse say is an early manifestation of the infection a. fatigue b. stomatitis c. excitement d. wasting syndrome

a. fatigue

a nurse in an emergency department is caring for a pt who has sustained multiple injuries, the nurse observes the pt's thorax moving inward during inspiration and outward during expiration, the nurse should suspect which of the following injuries a. flail chest b. hemothorax c. pulmonary contusion d. pneumothrowx

a. flail chest

a nurse is caring for a pt who has right sided pneumothorax, following chest tube insertion what finding indicates that the chest drainage system is functioning correctly a. gentle bubbling in the suction chamber b. constant bubbling c. crepituus d. absesnse of bubbling

a. gentle bubbling in the suction chamber

a nurse is caring for a pt who has right sided pneumothorax, following chest tube insertion what finding indicates that the chest drainage system is functioning correctly a. gentle bubbling in the suction chamber b. crepitus around the insertion site c. constant bubbling in the water seal chamber. 4. absence of breaths

a. gentle bubbling in the suction chamber

a nurse is assessing a pt who has Addison's disease, what manifestation would indicate they are experiencing the crisis a. hypotension(aldosterone deficit) b. hypertension c. tachycardia d. depression

a. hypotension(aldosterone deficit)

a nurse is teaching a pt who has angina pectoris about nitroglycerin sublingual tablets, what statements should indicate to the nurse that the pt understands the teaching a. i will keep the tablets in the original container b. keep container in ur shift c. feel relief in 20 minutes d. drive myself

a. i will keep the tablets in the original container

a nurse is providing discharge instructions to a pt who has GERD, what statements by the pt demonstrates an understanding of the teaching? a. i will limit activities that require bending at the waist b. bed time snack will prevent gerd c. i will lie down after meals d. take medication with orange juice

a. i will limit activities that require bending at the waist

a nurse is providing discharge teaching to a pt who is postop following a total hip arthroplasty, what statement by the pt indicates an understanding of the teaching a. i'll use my reaching device to help me pick up objects i drop on the floor b. ill onclude bent legs c. ill sleep on my back d. i will call and stop PT

a. i'll use my reaching device to help me pick up objects i drop on the floor

a nurse is teaching a pt who has osteoarthritis and is scheduled for a left hip arthroplasty, the nurse should explain that which of the following is the purpose of the procedure a. improve joint range of motion b. no range of motion d. decrease range of motion

a. improve joint range of motion

a nurse is reviewing lab reports for a pt who is taking NSAIs for RA, what results should the nurse recognize as a possible adverse effects of NSAID therapy a. increase serum potassium b. positive fecal occult blood test c. distended neck veins d. elevated creatine levels

a. increase serum potassium

a nurse is providing discharge teaching to a pt who has multiple sclerosis, what instruction should the nurse include in the teaching a. it is important to develop a daily schedule that reduces fatigue and conserves energy b. it is important to with this disease to relax c. it is important to develop daily schedule

a. it is important to develop a daily schedule that reduces fatigue and conserves energy

a nurse is in a burn tx center is caring for a client who is admitted with severe burns to both lower extremities and is scheduled for an escharotomy, the client's spouse asks the nurse what the procedure entails, which of the following statements made by the nurse is appropriate a. large incisions will be made in the eschar to improve circulation b. it could be helpful for you to attend a support group for people that have a lot of burn injuries

a. large incisions will be made in the eschar to improve circulation b. it could be helpful for you to attend a support group for people that have a lot of burn injuries

a nurse is planning care for a pt who has Meniere's disease and is experiencing episodes of vertigo, what intervention should the nurse include in the plan a. low sodium diet b. administer aspirin c. restrict intake/output d. maintain bed rest

a. low sodium diet

a nurse is caring for a pt who has acute pancreatitis, what intervention should the nurse include in the client's plan of care. select all that apply a. monitor BG levels b. maintain NPO status until pain free c.manage acute pain d. eat all the food e. call the provider

a. monitor BG levels b. maintain NPO status until pain free c.manage acute pain

a nurse is caring for a pt who has a cervical spinal cord injury, what interventions should the nurse include in the plan of care to prevent autonomic dysreflexia a. monitor bowel movement regularity b. use of a fan to promote air circulation c. tuck the top of the bed d. monitor drainage

a. monitor bowel movement regularity

a nurse is caring for a pt who is immediately postoperative following a pheochromocytoma removal, what action is priority a. monitoring BP b. increase hydration c. monitor output d. provide calm environment

a. monitoring BP

a nurse is caring for a pt who is postop and reports frequent leakage of small amounts of urine, the nurse notes that the client's bladder is palpable upon examination, the nurse should identify these findings as what form of incontinence a. overflow d. inflow c. stress b. urge

a. overflow

a nurse is assessing a pt who has a herniated lumbar disc, what finding would the nurse expect a. the pt reports tingling and burning sensation in one foot b. the client reports relief from pain when lying in the prone position c. the client reports that her low back pain radiates upward toward one scapula d. the client reports a decrease pain when the affected leg is raised and straightened

a. the pt reports tingling and burning sensation in one foot

a nurse is teaching strategies to prevent carpal tunnel syndrome to a group of office workers, what instructions should the nurse include a. use a wrist rest when working at a computer station b. stretch your fingers and wrists periodically while working c. take breaks from the repetitive activity d. raise your chair height e. position your keyboard at shoulder height

a. use a wrist rest when working at a computer station b. stretch your fingers and wrists periodically while working c. take breaks from the repetitive activity

a nurse is providing teaching to a pt who has acute leukemia and received chemo 5 days ago, what instruction should the nurse include in the teaching a. use an electric shaver b. avoid crowds c.monitor for bruising d. take temperature daily

a. use an electric shaver b. avoid crowds c.monitor for bruising

a nurse is assessing a pt who has a history of migraine headaches with aura and reports feeling a "migraine coming on", the nurse should expect the pt to report what manifestation a. visual disturbance b. photophbia c. nasal congestion d. phonophbia

a. visual disturbance

a nurse is providing teaching to a pt who is scheduled for electromyography (EMG), the nurse should include what info in the teaching a. you should expect insertion of small needle electrodes into the muscle b. you should reciebe a xed dose c. momentary ushing will appear d. inform if you get claustophboic

a. you should expect insertion of small needle electrodes into the muscle

a nurse is assessing a pt who has meningitis, the nurse should identify which of the following findings as a positive Kernig's sign Never after hip flexion, the pt is unstable to extend his leg completely without pain before hip flexion during hip flexion

after hip flexion, the pt is unstable to extend his leg completely without pain

a nurse is caring for a pt who has a new diagnosis of TB, what precaution should the nurse initiate to prevent transmission of the disease

airborne precaution

a nurse is caring for a pt who has a permanent pacemaker with a ventricular demand setting of 70, which of the following findings should alert the nurse to a pacemaker malfunction

apical pulse rate of 64/min

a nurse is providing discharge teaching to a client following a heart transplant. which of the following information should the nurse include in the teaching? a. Immunosuppressant medications need to be taken for up to 1 year. b. Shortness of breath might be an indication of transplant rejection. c. The surgical site will heal in 3 to 4 weeks after surgery. d. Begin 45 min of moderate aerobic exercise per day following discharge

b. Shortness of breath might be an indication of transplant rejection.

a nurse is assessing a pt who has meningitis, the nurse should identify which of the following findings as a positive Kernig's sign a. reports pain and stiffness when exiting their neck b. after hip flexion, the pt is unstable to extend his leg completely without pain c. voluntary movement

b. after hip flexion, the pt is unstable to extend his leg completely without pain

a nurse is caring for a client who had surgery 2 days ago and reports incisional pain, which of the following actions should the nurse take first? a. please describe the pain b. ask the pt to describe the pain and rate on a scale of 0-10 c. reposition the patient d. give pain medicine

b. ask the pt to describe the pain and rate on a scale of 0-10

a nurse is proving discharge teaching for a client who has COPD about nutrition. which of the following instructions should the nurse include a. eat 3 large meals b. consume high calorie food c. limit caffeinated drinks d. drinks fluids

b. consume high calorie food

a nurse is assessing a pt who has a sodium level of 122, what findings should the nurse expect a. hypoactive bowel sounds b. decreased deep-tendon reflexes c. increase deep tendon refelx d. positive troucces d. sticky muchous membrane s

b. decreased deep-tendon reflexes

a nurse is caring for a client who had an intravenous pyelogram (IVP) which of the following interventions should the nurse implement a. encourage caffeinated drinks b. encourage an increase in fluid intake c. monitor the client for urine change d. antibotic therapy

b. encourage an increase in fluid intake

a nurse is assessing a pt who has a spinal cord injury, what finding indicates the client might be experiencing neurogenic shock

b. heart rate 52/min

a nurse is teaching a pt who has type 1 DM about hypoglycemia, what statement by the pt indicates an understanding of the teaching a. exercise reduces the risk for hypoglycemia b. i can drink 4 ounces of soda if my blood sugar is low c. i can skip a meal d. diabetic pills dont cause hypoglycemia

b. i can drink 4 ounces of soda if my blood sugar is low

a nurse is providing teaching a client who is scheduled for EEG, what statement by the pt indicates an understanding of the teaching c. i will avoid eating after the procedure b. i will be exposed to flashes of light during the procedure a. i should not wash my hair d. i will receive 1 hour of sedation

b. i will be exposed to flashes of light during the procedure

a nurse is providing education regarding the prevention of UTIs to a client who has a history of cystitis, what statements by the client indicates that the teaching has been effective a. i will limit my fluid intake to 1 liter per day b. i will empty my bladder every 2-3 hours throughout the day c. i will take hot baths d. i will use vaginal deodrant

b. i will empty my bladder every 2-3 hours throughout the day

a nurse is teaching a client about using a continuous positive airway pressure (CPAP) device to treat obstructive sleep apnea. which of the following information should the nurse include in the teaching a. it has continuous adjustment feature that changes the airway pressure throughout the cycle b. it deliver a present amount of airway pressure throughout the breathing cycle c. it delivers positive pressure at the end of each breath

b. it deliver a present amount of airway pressure throughout the breathing cycle

a nurse is caring for pt who is undergoing a liver biopsy, what instruction should the nurse provide to the pt following the procedure a. lie on left side b. lie on your right side c. increase fluids d. decrease fluids

b. lie on your right side

a nurse is teaching a group of APs about caring for clients with Alzheimer's disease, what info should the nurse include a. leave the pt alone b. provide supervision to prevent a pt from becoming injured or lost c. work on outburts d. explain the procedure

b. provide supervision to prevent a pt from becoming injured or lost

a nurse is reviewing lab values for a client who has Cushing's disease, what values should the nurse expect a. blood glucose- 65 b. sodium 150 c. potassium 5 d. serium calcium 55

b. sodium 150

a nurse is caring for a pt who has renal caliculi, what prescription by the provider is the priority action for the nurse to take b. strictly monitor intake and output c. kidney transplant c, strain all urine d. retrograde pyelogrpahy

b. strictly monitor intake and output

a nurse is providing teaching to a newly licensed nurse about caring for a pt who is receiving a sealed radioactive implant, what information should the nurse include in the teaching a. lead container b. wear a lead apron during care c. limit visotirs d. allow children

b. wear a lead apron during care

a nurse is assessing a pt who has a new diagnosis of acute glomerulonephritis, what finding should the nurse expect

brown colored urine

a nurse is admitting a pt who has suspected appendicitis, what finding should the nurse report immediately wbc of 15000 temperatue of 99.1 distended board-like abdomen rebound tenderness

c. distended board-like abdomen

a nurse is assessing a pt who is postop following a kidney transplant, what finding indicates the client is experiencing a transplant rejection d. hypotension c. hypertension b. tachycardio a.sleeping

c. hypertension

a nurse in a rural community center is providing education to clients about first aid interventions for snake bites, what should the nurse include a. apply ice pack b. place tournqiute above c. immobilize the affected extremity with a splint d. elevate unaffect leg

c. immobilize the affected extremity with a splint

a nurse is providing discharge teaching to a pt who has heart failure and a prescription for furosemide 20 mg PO two times a day, what instruction should the nurse include in the teaching a. decrease intake of high potassium foods b. monitor for increased blood pressure c. increase the intake of high potassium foods d. take a second dose at bedtime

c. increase the intake of high potassium foods

a nurse is caring for pt who has a cerebellar tumor, what action is the nurse's priority a. dark room b. facilitate retention of facts by repeating them c. provide assistance with ambulation d. speaks lowly

c. provide assistance with ambulation

a nurse is caring for a pt who is at high risk for iron deficiency anemia, what foods should the nurse instruct the client to increase in her diet c. yogurt b. apples c. raisins d. cream cheese

c. raisins

a nurse is providing teaching to a pt who has a new onset of genital herpes, what statement should the nurse include in the teaching a. you are not contagious when lesions are healed b. this infection spread through the air c. stress can activate an outbreak d. antiviral

c. stress can activate an outbreak

a nurse is teaching a pt who has asthma about using a peak flow meter, when a yellow zone meter reading appears, the nurse should instruct the pt to take which of the following actions a. take another peak flow at 15 minutes b. call for emergency services c. take prescribed relief meds d. inhale

c. take prescribed relief meds

a nurse is providing discharge instructions to a pt following a cataract surgery, the nurse should advise the pt that he can perform what activities

cooking light house work

a nurse is assessing a pt who has a tension pneumothorax following blunt chest trauma, what should the nurse expect a. pleural friction rub b. frothy pink tinged sputum c, increase breath sounds d. tracheal deviation to the unaffected side

d. tracheal deviation to the unaffected side

a nurse is assessing a pt following a hypophysectomy, what finding indicates the client may be developing DI a. urine ketones c. hyperglycemia b. halo or ring dressing d. low urine specific gravity

d. low urine specific gravity

a nurse is providing instructions to a newly licensed nurse about NG intubation for a pt who is postop following a colectomy, what statement should the nurse include b. the tube decreases pressure c. nutrition will be provided d. the tube decreases pressure within the stomach

d. the tube decreases pressure within the stomach

a nurse is caring for a pt who has mild dehydration, the pt has a peripheral IV and is prescribed 0.9% sodium chloride 1,000mL with 40 mEq potassium chloride to infuse in 1 hour, what action should the nurse take first a. consult pharmacity b. teach the client about finding c. evaluate patency d. verify the prescription with the provider(

d. verify the prescription with the provider(risk for fluid overload and dysrhythmia from rapid potassium IV infusion)

a nurse is assessing a pt who is postop following an abdominal aortic aneurysm resection, what finding should the nurse report to the provider?

decreased urine output

a nurse is caring for a pt who has a history of peripheral vascular disease, what should alert the nurse to an increased risk of DVT? dehydration, combination oral contraceptives, immobility, hypercalcemia nothing

dehydration, combination oral contraceptives, immobility, hypercalcemia

a nurse is caring for apt who is postop following a bronchoscopy, what actions are the nurses priority

determine the pts gag reflex

a nurse is assessing a female pt who reports severe joint pain, the nurse should identify which of the following factors places the pt at risk for gout

diuretic use

a nurse is teaching a pt who has a new diagnosis of MS about visual changes she might experience as the disease progresses, what would she include?

double vision

a nurse is reviewing the r/f of osteoporosis with a group of pts, the nurse should instruct which of the following increases the risk of developing osteoporosis

early menopause

a nurse is assessing a pt who has DKA, what finding would the nurse expect?

fruity breath

multiple sclerosis and taking dantrolone for several months. how do you know the medication is working

i dont have muscle spams as frequently

a nurse is providing discharge instructions to a pt who has GERD, what statements by the pt demonstrates an understanding of the teaching? i will limit activities that require bending at the waist I will do all activities I will remain on bed rest

i will limit activities that require bending at the waist

a nurse is providing education to a pt who is scheduled for a barium swallow, what statement indicates understanding of the teaching?

i will remove my metal jewelry before coming in

a nurse is instructing a pt's caregiver on how to position the client before administering tube feedings in the home, which demonstrates understanding? a. i will sit him up in bed b. i will place him on the side c. i will elevate the head of the bed d. assume patient is comfortable

i will sit him up in bed

a nurse in an ICU is caring for a client who has a PE, what action should the nurse take first

initiate O2 therapy

a nurse is providing discharge teaching to a pt who is postop following a mitral valve replacement, what instruction should the nurse include in the teaching

obtain an antibiotic prescription before a dental procedure

a nurse is caring for a pt who is 2hr postoperative following a TURP, what assessment should be an indication of a postoperative complication

output of burgundy colored urine

a nurse is caring for a client who has renal failure, what ABG result would the nurse expect

ph.7.25 hco3 20 pacor 35

a nurse is reviewing the lab results of a pt who has unstable angina and has been receiving heparin via continuous IV infusion for the past 5 days, what lab values should the nurse identify as an indication that the pt has developed HIT

platelets 90,000

a nurse in a provider's office is caring for a client who has several moist, red, itchy skin lesions. to confirm that these lesions are fungal in origin, which of the following diagnostic tests should the nurse anticipate that the provider will prescribe

potassium hydroxide (KOH) test

a nurse is preparing a pt who has hyperthermia for admission to a facility, which of the following room assignments should the nurse make for this client

private room near the end of the hall

a nurse is preparing a client for a colonoscopy. which of the following medications should the nurse anticipate the provider to prescribe as an anethicetic for the procedure a. promethazine b. pancuronium c. propofol d. pentoxiflyine

propofol

a triage nurse finds a school-age child lying in the road following a school bus crash with multiple causalities, the child has a respiratory rate of 10/min, strong distal pulses, and groans to painful stimuli, what action should the nurse take red- place an emergent category on the clients upper body and yell for help yellow green black

red- place an emergent category on the clients upper body and yell for help

a nurse is caring for a pt who is hyperventilating and whose ABG results are pH 7.5, PaCO2 29, HCO3 25, based on this information the nurse should recognize that the client has what imbalance a. metabolic alkalosis b. metabolis acidosis c. respiratory alkalosis d. respiratory acidosis

respiratory alkalosis

a nurse is providing discharge instructions to a pt who has a peptic ulcer, what dietary modification should the nurse include

restrict intake of fried foods

a nurse is caring for pt who is postop following a total laryngectomy with radical neck dissection the nurse notes that the client is restless with a respiratory rate of 26/min and audible gurglin, what is a priority action by the nurse

suction the client's tracheostomy

a nurse is caring for a pt who is postop following a below-the-knee amputation, what interventions should the nurse include

teach the pt to perform hip extension exercises

a nurse is providing discharge instructions for a pt who is starting to take carbidopa/levodopa to treat PD, what instruction should the nurse include in the teaching this med can cause your urine to a. turn a dark color(also saliva and sweat) b. expect immediate relief c. skip a dose d high protein foods

turn a dark color(also saliva and sweat)

a nurse is obtaining the health history of a young adult male client, what information should indicate to the nurse that the pt is at high risk for developing testicular cancer

undescended right testis

a nurse is providing discharge teaching to a pt who has SLE, which of the following instructions should the nurse include

wear long-sleeved clothing when outdoors