The nurse is teaching a patient about conjunctivitis. Which statement indicates that the patient understands the most important means to prevent the spread of this infection?
a. "Wash hands."
b. "Patch the eyes."
c. "Irrigate the eyes."
d. "Keep the eyes moist."
ANS: A
Conjunctivitis is very contagious and hand washing is essential to prevent the transmission of this infection. B. C. D. Patching, irrigating, and keeping the eye moist will not prevent the spread of this infection.
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A school-age child is brought to the clinic by a parent who reports that the child becomes short of breath with activity. Which assessment finding would the nurse correlate with this condition?
A. Bulging fontanels B. Elevated brain natriuretic peptide C. Peripheral edema D. Weight loss
A nurse caring for a client on suicide precautions talks with a new staff nurse about the client's
suicide attempt, saying "I have come to understand that I cannot control anyone's suicidal ideas or impulses. Clients are in charge of their own lives.". This understanding means the nurse a. does not assume any responsibility for treatment outcomes. b. can see herself and the client as partners in planning outcomes. c. will defer to the client's judgment about outcomes. d. takes minimal responsibility for instilling hope.
The nurse is caring for a patient who is experiencing cardiogenic shock as a result of myocardial infarction. Which of the following assessments would concern the nurse the most?
1. Pao2 60 mm/hg 2. blood pressure 100/56 mm Hg 3. urine output 260 cc/8 hrs 4. heart rate 96
An individual who is admitted to an alcohol detoxification unit has had no alcohol intake for 3 days. On admission the patient is noted to have tremors, anxiety, insomnia, and disorientation accompanied by tachycardia and diaphoresis
These signs and symptoms are characteristic of the syndrome known as: a. alcoholic hallucinosis. b. alcohol-induced psychosis. c. alcoholic seizure disorder. d. alcohol withdrawal delirium.