A patient is diagnosed with an antibiotic-resistant infection. What can the nurse do to reduce the spread of this infection?
1. Isolate the supplies used when caring for this patient.
2. Transfer the patient to a semiprivate room.
3. Limit exposure to this patient.
4. Restrict visitors and plan activities to coincide with meal delivery times.
1
Rationale 1: Standard precautions, hand hygiene, and use of carefully selected antibiotics are critical actions for stopping the spread of these diseases. Equipment such as stethoscopes, blood pressure cuffs, and thermometers should be restricted to use by each patient identified with one of these diseases.
Rationale 2: Transferring the patient to a semiprivate room would not reduce the spread of infection.
Rationale 3: Limiting exposure to this patient could compromise the patient's care.
Rationale 4: Restricting visitors and planning activities to coincide with meal delivery times would compromise this patient's care.
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What is the key concept that allows the nurse to maintain professional boundaries when first developing the nurse-patient relationship?
1. Intentional development of the relationship 2. Use of caring in the relationship 3. Shared goals of the relationship 4. Shared knowledge occurring in the relationship
The client who has had a stroke is having difficulty swallowing. What technique should the nurse use to evaluate the client's swallowing reflex?
A. Place a tongue blade against the client's soft palate. B. Ask the client to sip a glass of water while the nurse observes the elevation of the larynx. C. Ask the client to take a sip of water and hold it in the mouth for 20 seconds be-fore swallowing. D. Place the thumb and the index finger on the side of the Adam's apple and ask the client to swallow.
A nurse conducts a functional assessment of a client who has moved to the assisted living facility. Which of the following statements best describes this functional assessment?
A) Information on the client's medical diagnoses and health problems. B) Client's ability to perform self-care tasks with a focus on rehabilitation. C) Assessment of the client's activities of daily living (ADLs). D) Prioritization of the client's ability to perform roles in relationships and in society.
The clinic nurse talks to a 30-year-old woman at 34 weeks' gestation who complains of having difficulty sleeping. Jayne has noticed that getting back to sleep after she has been up at night is difficult. The nurse's best response is:
a. "This is abnormal; it is important that you describe this problem to the doctor." b. "This is normal, and many women have this same problem during pregnancy; try napping for several hours each morning and afternoon." c. "This is abnormal; tell the doctor about this problem because diagnostic testing may be necessary." d. "This is normal in pregnancy, particularly during the third trimester when you also feel fetal movement at night; try napping once a day."