Because of her remark, you decide to reinforce teaching regarding things J.L. can do to
protect herself from infection. List five points you will include.
What will be an ideal response?
• Use a separate towel to dry your hands at home, and change it frequently.
• When eating in public places, avoid food that has not been washed or cooked.
• Avoid contact with people who are "coming down with something" or who think they "have a bug."
• Go shopping or to the mall during less busy times.
• Wash hands in public as nurses do. Teach J.L. to use a towel to open the restroom door (so she does
not recontaminate herself).
• Stay well hydrated, especially when traveling (it keeps mucosal membranes functional as barriers).
• Maintain good nutrition and get plenty of rest to promote higher resistance.
• Practice good dental hygiene with regular brushing, flossing, and screenings.
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Based on knowledge of total body fluids, a nurse is especially watchful for a fluid volume deficit in an infant. Why would the nurse do this?
A) Infants have less total body fluid and ECF than adults. B) Infants have more total body fluid and ECF than adults. C) Infants drink less fluid than adults. D) Infants lose more fluids through output than adults.
An older adult patient who is to begin taking imipramine (Tofranil) asks the nurse when the drug should be taken. The nurse will instruct the patient to:
a. divide the daily dose into two equal doses 12 hours apart. b. take the entire dose at bedtime to minimize sedative effects. c. take the medication once daily in the late afternoon. d. take the medication once daily in the morning.
The emergency department (ED) nurse is talking with a preschooler about the death of the child's parents in a motor vehicle crash. Which should the nurse take into consideration when formulating the client's plan of care?
1. Preschool-age children often believe that death is their fault. 2. Preschool-age children believe death is permanent. 3. Preschool-age children engage in reality-based thinking. 4. Preschool-age children may believe the parents will not come back home.
The independent interventions the nurse may employ when the 80-year-old patient in the long-term health care facility develops acute pulmonary edema are to: (Select all that apply.)
a. give oxygen at 2 L/min. b. give morphine to relieve respiratory dis-tress. c. give diuretics to relieve excess fluid. d. position in high Fowler's position. e. apply compression stockings.