When providing care for a client with an acute burn injury, which nursing intervention is most important to prevent infection by autocontamination?
a. Avoid sharing equipment such as blood pressure cuffs between clients.
b. Change gloves between wound care on different parts of the client's body.
c. Use the closed method of burn wound management for all wound care.
d. Use proper and consistent handwashing by all members of the staff.
B
Autocontamination is the transfer of microorganisms from one area to another area of the same client's body, causing infection of a previously uninfected area. Although all techniques listed can help reduce the risk for infection, only changing gloves between carrying out wound care on different parts of the client's body can prevent autocontamination.
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______________________ is the presence of tissue that resembles endometrium outside the uterus
ANS:
A patient in the CCU exhibits a tall, narrow, and peaked T wave on ECG. The nurse recognizes that this is most likely an early sign of which of the following?
A) Hypokalemia B) Hyperkalemia C) Hypocalcemia D) Hypercalcemia
For a woman with a healthy weight before pregnancy, gaining 25 to 35 pounds during pregnancy is considered to be
a. too low for a healthy pregnancy. b. too high for a healthy pregnancy. c. the current recommended range for weight gain. d. the current range for weight gain for a woman experiencing gestational diabetes.
For which children would the nurse conduct an immediate comprehensive health history?
A) A child who is brought to the emergency room with labored breathing B) A child who is a new client in a pediatric office C) A child who is a routine client and presents with signs of a sinus infection D) A child whose condition is improving