The nurse explains which of the following as strategies to prevent the spread of infection in the healthcare setting? Standard Text: Select all that apply
1. Allow visitors to minimize feelings of isolation
2. Isolate the client until 24 hours after resolution of fever and respiratory symptoms
3. Use personal protective equipment consistently
4. Hands should be washed with soap and water once a shift
5. Alcohol based hand rub can be used for routinely decontaminating hands
2,3,5
Rationale 1: Minimize visits until client is no longer infectious.
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The nurse assesses the client with atherosclerotic disease. Which assessment is the nurse's priority?
1. +1 pedal pulse, pale toes 2. Carotid arteries without bruits 3. S1 and S2 heart sounds audible 4. 2-inch jugular venous distention
A patient on a high dosage of corticosteroids over a period of time may develop which type of psychiatric complication?
a. Lethargy b. Psychotic behaviors c. Manic phases d. Anxiety attacks
The nurse is caring for a 52-year-old patient who is self-absorbed. What should the nurse identify as the likely cause of this self-absorption?
a. Depression b. Loss of friends c. Unresolved finances d. Unresolved generativity
The nurse is caring for a client with a central venous catheter used for intermittent medication administration. When flushing the catheter prior to administering the next dose of medication, which initial action by the nurse is the most appropriate?
1. Aspirating the catheter for blood 2. Obtaining a 3 mL syringe and filling it with normal saline for flushing the line 3. Flushing the catheter, using as much force as required in order to clear the line 4. Positioning the client in reverse Trendelenburg position