The nurse is assisting with the development of an educational program to reduce the incidence of infectious diseases in a community. What topics should the nurse suggest be included in this program? (Select all that apply.)
a. Use of cough etiquette
b. Performance of hand hygiene
c. Safe food handling techniques
d. Use of safety equipment with sports
e. Importance of receiving immunizations
ANS: A, B, C, E
Educating the public about the importance of hand hygiene, the Center for Disease Control and Prevention's (CDC's) respiratory hygiene/cough etiquette measures, immunization, clean water, safe food handling techniques, and safer sex precautions helps prevent the spread of disease in the community. D. Use of safety equipment with sports helps prevent accidental injuries.
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The client is nervous about an upcoming colposcopy and calls the nurse in the office to ask for a repeat explanation of the procedure. The nurse explains that it is an endoscopic procedure to:
a. provide direct visualization of the endome-trium to diagnose or treat a uterine problem b. provide direct visualization of the vagina and cervix to diagnose cervical dsyplasia or cancer of the cervix c. obtain an endometrial biopsy for diagnosis of endometrial tissue abnormalities d. remove a small piece of tissue for microscopic examination to diagnose prostate abnormalities
A cancer patient is receiving drug therapy with epoetin alfa (Epogen). The nurse knows that the medication must be stopped if which laboratory result is noted?
a. White blood cell count of 550 cells/mm3 b. Hemoglobin level of 12 g/dL c. Potassium level of 4.2 mEq/L d. Glucose level of 78 mg/dL
A nurse is caring for a 15-year-old who in the past 6 months has had multiple male and female sexual partners. The nurse knows that the therapeutic statement that would be most effective is
a. "I know you feel invincible, but STIs and unwanted pregnancy are a real risk. Let's discuss what you think is the best method for protecting yourself." b. "Having sexual interaction with both males and females places you at higher risk for STIs. To protect yourself you need to decide which orientation you are." c. "Your current friends are leading you to make poor choices. You should find new friends to hang out with." d. "I think it's best to notify your parents. They know what's best for you and can help make sure you practice safe sex."
An older patient receiving intravenous fluids at 175 mL/HR is demonstrating crackles, shortness of breath, and distended neck veins. The nurse recognizes these findings as being which complication of intravenous fluid therapy:
a) Fluid volume excess b) Pulmonary embolism