A client is being discharged home after a large myocardial infarction and subsequent coronary artery bypass grafting surgery. The client's sternal wound has not yet healed
What statement by the client most indicates a higher risk of developing sepsis after discharge?
a.
"All my friends and neighbors are planning a party for me."
b.
"I hope I can get my water turned back on when I get home."
c.
"I am going to have my daughter scoop the cat litter box."
d.
"My grandkids are so excited to have me coming home!"
ANS: B
All these statements indicate a potential for leading to infection once the client gets back home. A large party might include individuals who are themselves ill and contagious. Having litter boxes in the home can expose the client to microbes that can lead to infection. Small children often have upper respiratory infections and poor hand hygiene that spread germs. However, the most worrisome statement is the lack of running water for handwashing and general hygiene and cleaning purposes.
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Nursing care for the patient with a head injury involves
A) prevention of pressure ulcers. B) monitoring of blood sugar. C) encouraging fluids. D) high-calorie, high-protein diet.
MC Which of the following is an appropriate nursing action for preventing mechanical injuries?
A. Listen to client's complaints. B. Always keep bed in low position. C. Make sure floors are free of debris. D. Use restraints.