What interventions would you place in a plan of care to reduce J.B.'s risk of infection?
What will be an ideal response?
• Instruct J.B. and all persons having contact with him to wash hands thoroughly.
• Restrict visitors who have transmissible illnesses such as colds, influenza, or chickenpox.
• Encourage J.B. to practice good personal hygiene.
• Notify the physician immediately if J.B.'s temperature is higher than 100.4° F (38° C).
• Administer antibiotic therapy within 1 hour when prescribed for a febrile patient.
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The mother asks the nurse for a steroid cream to put on her infant's diaper rash. What teaching will the nurse provide the mother? (Select all that apply.)
A) "Topical corticosteroids are very effective treatment for diaper rash." B) "Topical corticosteroid application should not be occluded with a diaper." C) "Topical corticosteroids should not be applied to open lesions." D) "Use of topical corticosteroids should be limited in children." E) "Topical corticosteroids should be applied in a thick coat to the rash."
The nurse manager is devising a teaching schedule for the staff who are about to begin using a new type of patient bed in the ICU. Implementation is planned in 6 weeks. When is the best time for the manager to schedule the teaching sessions?
a. Immediately b. One week before implementation c. Two weeks before implementation d. Four weeks before implementation
The nurse is caring for clients in the postanesthesia care unit (PACU). Which client does the nurse intervene for first?
a. Client with a pulse deficit of 15 b. Client who is reporting leg pain c. Client with dementia who is confused d. Client who is reporting a headache
A client is prescribed seizure precautions. The nurse places functioning oral suction equipment in the client's room because:
1. Suctioning might be needed to prevent the aspiration of oral secretions. 2. The client has difficulty swallowing liquids. 3. There was a spare oral suction set up, and the nurse did not want to return it to Engineering. 4. It helps when the client is brushing her teeth.