The nurse is teaching a group of clients about ways that infections are transmitted. The comment made by one of the clients that shows the need for further instruction is
a. "A vector transmits infection by biting someone who doesn't have the infection."
b. "Sneezing can put infected droplets in the air for someone else to breathe."
c. "The portal of entry and the portal of exit are always the same."
d. "You can get infections from touching something contaminated by a sick person."
C
The portals of entry and exit are often similar, but variations exist. One example is hookworm. The portal of exit is feces, but the portal of entry is through the skin of a person walking barefoot in soil containing hatched eggs.
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A parent brings a 2-year-old child to the clinic, reporting that the child has an ear infection. Which assessment information leads the nurse to suspect a diagnosis of bacterial otitis media? (Select all that apply.)
A. Acute otalgia B. Dull, throbbing pain C. Fever of 104 °F (40 °C) D. High-pitched crying E. Poor feeding F. Rubbing the ear
The nurse manager gave the unit secretary complete responsibility for the unit's staffing, including finding replacements for call-ins and disciplining nurses with excessive call-ins. This is an example of which type of delegation?
1. Effective delegation 2. Overdelegation 3. Reverse delegation 4. Underdelegation
The nurse is providing care to a client who is experiencing urinary incontinence. Which independent nursing intervention is the most appropriate for this client?
A) Encouraging increased fluid intake B) Providing catheter care C) Instructing on self-catheterization D) Implementing hygiene care
The nurse has instructed an older client on ways to prevent the recurrence of pneumonia. Which client statement best indicates teaching was successful?
1. "I will get the influenza vaccine every year before February." 2. "Antivirals work best within one to two days of getting the flu virus." 3. "My allergy to eggs means I have to be monitored after I get any vaccination." 4. "I will get the pneumococcal vaccine before I am discharged from the hospital."