What technique should the nurse use to implement infection control in the home?
A) Avoid touching any object in the home, including door knobs.
B) Practice hand hygiene when beginning and ending the home visit.
C) Wear gloves at all times when in the home or traveling in the car.
D) Take prescribed antibiotics on a regular basis on working days.
Ans: B
Of all the methods used to prevent infection, hand hygiene is the most important and is necessary before and after treating the client (i.e., when beginning and ending the home visit).
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A patient has been taking narcotic analgesics for chronic pain for several months. The nurse caring for this patient notes that the prescribed dose is higher than the recommended dose
The patient has normal vital signs, is awake and alert, and reports mild pain. What does the nurse recognize about this patient? a. This patient exhibits a negative placebo effect with a reduced response to the drug. b. This patient has developed a reaction known as tachyphylaxis because of re-peated exposure to the drug. c. This patient has developed pharmacody-namic tolerance, which has increased the minimal effective concentration (MEC) needed for analgesic effect. d. This patient produces higher than normal hepatic enzymes as a result of prolonged exposure to the drug.
A physician complains to administration that the nurse working last evening is unethical, based on observing the nurse educate the patient about a new medication ordered
The physician demanded the nurse be reprimanded and reminded that only physicians have the educational background to teach patients about new medications. Which comment and action by the administrator would be most effective in changing nurse-physician relationships in this instance? a. Inform the nurse, "You will be suspended for 3 days for going beyond your job description," and enforce the 3-day suspension because the physician did not write the order to "teach the patient about the new medication" b. Advise the physician that only nurses can teach patients about medications; the physician's role is to only prescribe. No action will be taken against the nurse. c. After investigating the situation, thank the physician while also providing information that patient education related to medication is within the scope of practice of registered nurses. Share the physician's concern and administrator's response with the nurse so both parties are aware of the resolution of the concerns. d. Contact the patient's family and ask, "Do you prefer that all teaching related to medications be performed by the physician rather than the nurse" to determine what action to take.
A client is prescribed to receive vancomycin hydrochloride (Vancocin) 500 mg in 100 mL 0.9% normal saline IVPB q 6 hours to infuse over 1 hour. What is the flow rate in gtts/min with a drop factor of 15 gtts/mL?
1. 15 gtts/min 2. 20 gtts/min 3. 25 gtts/min 4. 30 gtts/min
Tobie presents to the clinic with moderate acne. He has been using OTC benzoyl peroxide at home with minimal improvement
A topical antibiotic (clindamycin) and a topical retinoid adapalene (Differin) are prescribed. Education of Tobie would include: 1. He should see an improvement in his acne within the first 2 weeks of treatment. 2. If there is no response in a week, double the daily application of adapalene (Differin). 3. He may see an initial worsening of his acne that will improve in 6 to 8 weeks. 4. Adapalene may cause bleaching of clothing.