The client receiving intravenous chemotherapy asks the nurse why the nurse is wearing a mask, gloves, and gown when giving the drugs to the client. What is the nurse's best re-sponse?
A. "These drugs will reduce your immune response and, with these coverings, I am protecting you from getting an infection from me."
B. "Because your immunity is reduced by this therapy, I am preventing the spread of infection from you to me or any other client here."
C. "The hospital policy is for any nurse giving these drugs to wear a gown, glove, and mask to prevent other people from getting cancer."
D. The drugs are powerful and I handle them every day. The clothing protects me from accidentally absorbing these strong, cancer-killing drugs."
D
Most chemotherapy drugs are absorbed through the skin and mucous membranes. As a result, the health care workers who prepare or give these drugs (especially nurses and pharmacists) are at risk for absorbing them. Even at low doses, chronic exposure to chemotherapy drugs can affect health. The Oncology Nursing Society and OSHA have specific guideline for using caution and wearing protective clothing whenever preparing, giving, or disposing of chemotherapy drugs.
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According to the U.S. Department of Health and Human Services 2008 Physical Activity Guidelines for Americans, which of the following statements about the benefits of physical activity is correct?
a. The risks of physical activity outweigh the health benefits. b. Physical activity in excess of recommendations for age is harmful. c. Combining aerobic and muscle-strengthening activities promotes better health. d. Lesser amounts of activity provide little to no health benefits.
A woman who is 6 months pregnant has sought medical attention, saying she fell down the stairs. Which of the following scenarios would cause an emergency department nurse to suspect that the woman has been battered?
a. The woman and her partner are having an argument that is loud and hostile. b. The woman has injuries on various parts of her body that are in different stages of healing. c. Examination reveals a fractured arm and fresh bruises. Her husband asks her about her pain. d. She avoids making eye contact and is hesitant to answer questions.
While in the hospital, the pediatric patient has been receiving amoxicillin 10 mL orally bid, pc. The child will be going home on this medication. What is the best instruction by the nurse for the parents?
1. Give 2 teaspoons by mouth, 3 times a day, on an empty stomach. 2. Give 2 teaspoons by mouth, twice a day, after meals. 3. Give 2 teaspoons by mouth, 3 times a day, after meals. 4. Give 2 teaspoons by mouth, twice a day, with meals.
A nurse is providing care for a patient who is in a halo vest. Which of the following statements is a recommended step in this process?
A) Examine the halo vest unit every 8 hours for stability, secure connections, and positioning. B) Make sure the patient's head is centered in the halo with the neck slightly extended upward. C) Check for fit by placing the patient in a supine position, and making sure fingers cannot be inserted under the jacket. D) Put on sterile gloves and wash the patient's chest and back daily using lotion under the vest.