Which actions by the nurse may prevent infections in the labor and delivery area?

a. Vaginal examinations every hour while the woman is in active labor
b. Use of clean techniques for all procedures
c. Cleaning secretions from the vaginal area by using back-to-front motion
d. Keeping underpads and linens as dry as possible


D
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A Vaginal examinations should be limited to decrease transmission of vaginal
organisms into the uterine cavity.
B Use an aseptic technique if membranes are not ruptured; use a sterile technique if
membranes are ruptured.
C Vaginal drainage should be removed with a front-to-back motion to decrease
fecal contamination.
D Bacterial growth prefers a moist, warm environment.

Nursing

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A patient who has been taking lovastatin (Mevacor) has seen an improvement in his cholesterol laboratory values; however, the low-density lipoprotein remains elevated. What medication will be added to the medical regime?

A) Digoxin (Lanoxin) B) Vitamin D C) Cholestyramine (Questran) D) Calcium carbonate

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The nurse provides medication to a client at the wrong time. No harm came to the client as a result of the nurse's error and the nurse files a report about the medication error. Which response by the risk management team is most appropriate?

A) Discipline the nurse appropriately. B) Report the nurse to the board of nursing. C) Monitor all nurses on the unit to ensure this does not occur again. D) Attempt to implement policy changes to prevent future errors.

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Addressing the strategic planning process questions involves considering environmental factors. An example of an external environmental factor to be considered is:

a. financial factors. b. human resources. c. regulatory bodies. d. organizational culture.

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Patient education regarding taking iron replacements includes:

1. Doubling the dose if they miss a dose to maintain therapeutic levels 2. Taking the iron with milk or crackers if it upsets their stomach 3. Iron is best taken on an empty stomach with juice 4. Antacids such as Tums may help the upset stomach caused by iron therapy

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