A client has an inguinal hernia repair and later develops a methicillin-resistant Staphylococcus aureus (MRSA) infection. What is the most important factor to prevent this infection?
A) Surgical asepsis
B) Increased T cells
C) Decreased antibiotics
D) Increased vitamin C
Ans: A
Feedback:
Clients are at risk for healthcare-associated infections when the health care staff does not follow safety guidelines. Medical and surgical asepsis are the primary safety interventions for preventing disease in the health care environment.
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A nurse is performing an admission assessment on a patient. The patient reports taking alprazolam [Xanax] for "nerves." The nurse knows that this patient is most likely being treated for which condition?
a. Generalized anxiety disorder b. Obsessive-compulsive disorder (OCD) c. Panic disorder d. Post-traumatic stress disorder (PTSD)
Which situations would the nurse identify as supporting the activity theory of aging? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. An 82-year-old patient continues to live at home and care for her own lawn. 2. A 70-year-old patient who can no longer travel independently joins a group that goes on sightseeing bus trips together. 3. A 65-year-old patient moves to a senior retirement community. 4. A 72-year-old patient does not socialize anymore, preferring to stay at home and watch television. 5. A 74-year-old patient refuses to retire from work.
The nurse is caring for an elder client with periodontal disease and recognizes this can be a cause of:
A) excessive dryness in the mouth. B) tooth loss. C) excessive craving of salty foods. D) furrows in the tongue.
What is the most common use of SBAR?
A) Contacting a provider regarding a patient issue B) Structuring communications during handoff C) Delegating care to nursing assistants D) Expressing concern about a patient's condition to the charge nurse