The infection control nurse observes a nurse on a cardiac unit. Which actions by the nurse would require intervention by the infection control nurse? (Select all that apply.)
a. Wipes stethoscope with a soft cloth before each patient use
b. Carries stethoscope in a laboratory coat pocket when not in use
c. Performs hand hygiene before and after contact with each patient
d. Leaves a thermometer in the room of a patient on contact precautions
e. Takes own stethoscope into the room of a patient on contact precautions
f. Uses a stethoscope and blood pressure cuff supplied in the patient's room
ANS: A, E
The nurse should not wipe the stethoscope with a cloth before use or use own stethoscope for a patient on contact precautions. B. C. D. F. Stethoscopes become contaminated with patient use. To protect patients, stethoscopes should be cleansed with ethanol-based cleanser or isopropyl alcohol pads as frequently between each patient use as hands are washed. Patients with contact precautions/isolation should have dedicated equipment in the room.
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One day after discharge, the postpartum patient calls the clinic complaining of a reddened area on her lower leg, temperature elevation of 37 ° C (99.8 ° F), rust-colored lochia, and sore breasts. What does the nurse suspect from these symptoms?
a. Phlebitis b. Puerperal infection c. Late postpartum hemorrhage d. Mastitis
Which of the following individuals is most likely to possess an increased risk of developing Alzheimer's disease in the future?
A) A man with a family history of Down syndrome B) A woman with a diagnosis of autism C) A man whose admission assessment reveals polypharmacy D) A woman with poorly controlled type 1 diabetes`
The nurse is planning care for a middle-aged adult. What should the nurse identify as a major risk factor for this client?
1. Weight loss 2. Decreased physical activity 3. Multiple sex partners 4. Vitamin deficiency
Cecil and his wife are traveling to Southeast Asia on vacation and he has come into the clinic to review his medications. He is healthy with only mild hypertension that is well controlled
He asks about getting "a shot" to prevent blood clots like his friend Ralph did before international travel. The correct respond would be: 1. Administer one dose of low-molecular weight heparin 24 hours before travel. 2. Prescribe one dose of warfarin to be taken the day of travel. 3. Consult with a hematologist regarding a treatment plan for Cecil. 4. Explain that Cecil is not at high risk of a blood clot and provide education about how to prevent blood clots while traveling.