When a client is admitted to a health care facility, the client will automatically be placed on which type of isolation precautions?
a. airborne c. none
b. contact d. standard
D
Standard Precautions apply to blood; all body fluids, secretions, and excretions except sweat, regardless of whether those fluids contain visible blood; nonintact skin; and mucous membranes.
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The home care nurse determines that a client being treated for postpartum depression is improving. Which assessment data supports the nurse's conclusion?
A) Client in casual wear, holding baby while rocking in a chair B) Spouse making dinner, client in bed asleep, baby in rocker in the kitchen C) Dirty dishes in the sink, beds unmade, and client wearing clothing for sleep D) Client watching television in the living room while the baby is in the crib crying
What statement by the client indicates a need for additional teaching about his or her spinal cord tumor and treatment?
A. "I know that because my symptoms occurred so quickly, I am likely to be cured quickly by surgery." B. "I understand that radiation therapy can shrink the tumor but that radiation can cause more problems, too." C. "I am glad you are here to turn me—laying in one position for long makes my pain worse, even if turning is uncomfortable." D. "My family is making some changes at home for me, including moving my bed-room downstairs."
"Risk for suffocation related to discard of refrigerators without doors as manifested by parental concern for safety" is a nursing diagnosis statement. Is there something that could be added to make this statement more complete?
A) A description of the problem, response, or state B) Identification of factors etiologically related to the problem C) Signs and symptoms characteristic of the problem D) Nothing is missing; it is a complete community nursing diagnosis.
The nurse is caring for a patient who had a hysteroscopic surgery. The patient reports severe lower abdominal pain, she appears pale, and has trouble focusing on the nurses questions about pain. Vital signs show: T 98.6 F, P 120/min, R 24/min, BP 103/60. Which complication does the nurse suspect?
a. Hemorrhage b. Embolism c. Fluid overload d. Incomplete suppression of menstruation