A school-aged child with an infectious disease is placed on transmission-based precautions. Which nursing diagnosis would most likely be a priority?
A) Impaired skin integrity related to trauma secondary to pruritus and scratching
B) Fluid volume deficit related to increased metabolic demands and insensible losses
C) Social isolation related to infectivity and inability to go to the playroom
D) Deficient knowledge related to how infection is transmitted
C
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A woman is seen in the primary care provider's office with chronic severe diarrhea-predominant irritable bowel syndrome, which has not responded to conventional therapy. Which medication should the nurse anticipate administering?
A) Rifaximin (Xifaxan) B) Nitazoxanide (Alinia) C) Alosetron (Lotronex) D) Cholestyramine (Questran)
The nurse has reinforced teaching with a patient after diagnostic testing reveals tinnitus. Which of the following patient statements indicates that teaching has been effective?
a. "There is a toxic substance in my ear." b. "That is why I have so much discharge all of the time." c. "My ear pain should get better if I follow the doctor's orders." d. "The ringing sound I hear in my ear may be a symptom of another problem."
The nurse admits the client with fluid volume excess. Which clinical indicator of the client demonstrates that the nursing plan restored fluid balance?
1. Urine specific gravity is 1.100. 2. Hematocrit of whole blood is 45%. 3. Weight increased by 4% overnight. 4. Intake 4500 ml and output 2000 ml.
The nurse is aware that it is important to break the chain of infection. An example of a nursing intervention that is implemented to reduce a reservoir of infection for a client is:
A. Covering the mouth and nose when sneezing B. Wearing disposable gloves C. Isolating client's articles D. Changing soiled dressings