The nurse is teaching a family about prevention of infection in the home. The nurse should advise the family that one of the best methods of preventing infection is:
1. frequent handwashing.
2. airing out the house in the spring.
3. scrubbing the floors daily.
4. using antimicrobial cleaning solutions when cleaning.
Answer: 1
1. The most effective means of preventing infection is handwashing.
2. Airing the house is not considered a method of preventing infection.
3. Floors should be cleaned, but not daily.
4. Using antimicrobial solutions can be dangerous because microorganisms can become resistant and then more powerful.
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A woman has just experienced a spontaneous abortion. Which information would the nurse analyze before counseling the client?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. What was the fetal gestational age? 2. Are malformations present? 3. What is the father's ethnicity? 4. What is the mother's age? 5. Is the fetus small for gestational age?
When a male patient is receiving androgen therapy, the nurse will monitor for signs of excessive androgens such as:
a. fluid retention. b. dehydration. c. restlessness. d. visual changes.
The nurse is instructing a young client on avoiding toxic shock syndrome. Education was successful when the client makes which statements? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. "I will wash my hands before inserting a tampon." 2. "I will change my tampon every 3-6 hours." 3. "I will not touch the part of the tampon I insert." 4. "I will just put the used tampon in the trash." 5. "I will take prophylactic antibiotics if needed."
The nurse records this entry in a patient's progress notes:
Patient escorted to unit by ER nurse at 2130. Patient's clothing was dirty. In interview room, patient sat with hands over face, sobbing softly. Did not acknowledge nurse or reply to questions. After several minutes, abruptly arose, ran to window, and pounded. Shouted repeatedly, "Let me out of here." Verbal intervention unsuccessful. Order for stat dose 2 mg haloperidol PO obtained; medication administered at 2150. By 2215, patient stopped shouting and returned to sit wordlessly in chair. Patient placed on one-to-one observation. How should this documentation be evaluated? a. Uses unapproved abbreviations b. Contains subjective material c. Too brief to be of value d. Excessively wordy e. Meets standards