A group of nursing students are reviewing the six links in the chain of infection and the nursing implications for each. The students demonstrate understanding of the information when they identify which precaution as
helping to break the chain of infection to the susceptible host?
A) Keeping linens dry and clean
B) Maintaining skin integrity
C) Washing hands frequently
D) Coughing into a handkerchief
Ans: B
Maintaining the integrity of the child's skin and mucous membranes is a precaution that will break the chain of infection at the susceptible host. Keeping linens dry and clean is a precaution to take at the reservoir link. Washing hands frequently breaks the chain at the mode of transmission. Coughing into a handkerchief is a precaution for the portal of exit.
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The sibling of an Asian American tells the nurse, "My sister needs help for pain. She cries from the hurt." Which understanding by the nurse will contribute to culturally competent care? The patient:
a. may express emotional distress with physical symptoms. b. will probably respond best to a therapist who is impersonal. c. will require prolonged treatment to stabilize these symptoms. d. should be given direct information about the diagnosis and prognosis.
A patient has a serum cholesterol level of 270 mg/dL. The patient asks the nurse what this level means. Which response by the nurse is correct?
a. "You have a high risk for coronary artery disease." b. "You have a moderate risk for coronary artery disease." c. "You have a low risk for coronary artery disease." d. "You have no risk for coronary artery disease."
When infants with a cleft lip or cleft palate are nursing from a bottle, they will signal a need for a rest before they choke or gag. Which of the following is a signal from the infant to take a break?
a. elevating eyebrows and wrinkling the forehead b. a slight lifting of the ears c. puckering the lips tightly and blinking the eyes d. clenching the fists and a jerking of the arms
A physician orders a large volume cleansing enema for a patient postabdominal surgery. What is one of the usual outcomes of this procedure?
A) It stimulates peristalsis and provides a passageway for gas to escape. B) It removes hardened fecal impactions from the rectum. C) It provides an outlet for diarrhea to be funneled into a collection unit. D) It softens and facilitates the removal of intestinal polyps.