A patient tells a nurse practitioner (NP) that several coworkers have upper respiratory infections and asks about the best way to avoid getting sick. The NP should recommend which of the following?
a. Echinacea
b. Frequent hand washing
c. Zinc gluconate supplements
d. Normal saline nasal irrigation
B
Hand washing is the most effective way to prevent the spread of viral upper respiratory illness (VURI). Echinacea has not been shown to be effective in preventing VURI. Zinc gluconate may decrease the duration of a VURI if taken within 24 hours of onset, but it does not prevent infection. Normal saline irrigation is helpful for symptomatic relief after a VURI has begun.
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Vascular volume increases by 45% to 50% during pregnancy to:
a. compensate for decreased renal plasma flow. b. provide adequate perfusion of the placenta. c. eliminate metabolic wastes of the mother. d. prevent maternal and fetal dehydration.
A female client admitted for cardiac problems also has condyloma acuminatum. Which type of precautions does the nursing staff implement with this client?
a. Standard b. Airborne c. Contact d. Droplet
If an institution does not have an ethics committee, in what order should the organizational steps be undertaken to form one?
1. The institution should decide who the members of the committee should be. 2. Members of the committee must write institutional policies about ethics. 3. The committee should set up a meeting schedule and a method to contact them. 4. Members should undergo significant ethics training. 5. The ethics committee should publish education materials on identifying ethical issues.
When a client shares with the nurse that she/he has be researching her/his condition on various web sites, the nurse responds most responsively when stating:
1. "Information from the Internet isn't always accurate." 2. "It's best to check this information with your physician." 3. "Bring your information to the clinic so we can go through it together." 4. "I'd prefer you rely on information you haven't received from our office."