The nurse is teaching a client with cellulitis about ways to avoid future infections. Which client statements indicate that teaching has been effective?
Select all that apply.
A) "I should use antibiotic soap to cleanse the wounds."
B) "I should eat a lot of rice to increase my intake of vitamin C."
C) "I will contact the doctor if I have a temperature of 99.5 °F or higher."
D) "I will not swim in lakes."
E) "I can stop taking the antibiotics when the swelling subsides."
Answer: A, D
It is recommended that the client wash affected areas with an antibacterial soap. The water in lakes can be contaminated and can cause an infection. Vitamin C-rich foods include citrus fruits and strawberries, but not rice. The healthcare provider should be contacted for a body temperature of 101 °F or higher. Antibiotics are taken for the full course ordered.
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An older adult woman comes into the clinic complaining of "feeling bad" since yesterday. She tells the nurse her husband gave her his medication for a headache. Which represents the best response to this information?
a. "The cost of medication is high, so sharing is okay, since he has no problems." b. "You both have the same health problems, so sharing is all right." c. "Monitoring the drug effect is easier, since he also takes the medication." d. "When you take his medication, it makes evaluating the effects of your medication harder."
The nurse preparing IV calcium chloride for a client with hypocalcemia should administer the drug in
a. 0.9% normal saline using a 22-gauge IV catheter. b. 3% normal saline using an 18-gauge IV catheter. c. 5% dextrose in water using a 23-gauge IV catheter. d. Ringer's solution using a 20-gauge IV catheter.
The nurse controls the IV flow
Indicate whether the statement is true or false.
A patient with a suspected closed head injury has bloody nasal drainage. The nurse suspects that this patient has a cerebrospinal fluid (CSF) leak when observing which of the following?
A) A halo sign on the nasal drip pad B) Decreased blood pressure and urinary output C) A positive reading for glucose on a Test-tape strip D) Clear nasal drainage along with the bloody discharge