Which of the following have been identified as evidence-based guidelines to reduce surgical site infections (SSIs)? (Select all that apply.)

a. Prepping the surgical site with a razor followed by an antiseptic scrub
b. Giving antibiotics immediately after the procedure
c. Maintaining blood glucose levels
d. Maintaining normal body temperatures
e. Maintaining proper positioning


C, D
Four evidence-based guidelines have been identified to reduce SSIs: Do not remove hair unless it will interfere with the operation, and remove it with electrical clippers if possible; give the correct antibiotic preoperatively and at the appropriate time; maintain blood glucose postoperatively, especially for patients undergoing cardiac surgery; and maintain normothermia.

Nursing

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An important safety precaution the home health nurse teaches parents to prevent burns to small children is to:

a. never leave them unattended. b. turn pot handles on stoves away from reach. c. turn hot water on first when filling the bathtub. d. keep side rails up on the crib.

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A pregnant 23-year-old diagnosed with herpes simplex virus (HSV) is receiving prenatal care from her family physician. To prevent transmission of the virus to her baby, the physician will educate to include which of the following accurate statements?

A) "After your caesarean section, it will be safest if you don't breast-feed your child." B) "If there aren't any visible lesions when you enter labor, a vaginal delivery will be safe to go ahead with." C) "A vaginal delivery will be safe as long as you are consistent with taking your valacyclovir." D) "We'll have to book you a caesarian delivery in order to ensure your baby isn't exposed to the virus."

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The nurse is explaining hepatitis to a high school health occupations class. The students all volunteer examples of how hepatitis is transmitted. Which student statement indicates the need further education?

A) "Body piercing or tattoo with infected equipment." B) "Contaminated food or fluids." C) "Alcoholism or drug overdose." D) "Bite of an infected mosquito or tick."

Nursing

Patients with diabetes mellitus and chronic renal failure who are treated using peritoneal dialysis may have difficulty controlling their diabetes because

a. insulin is lost into the dialysate. b. glucose is absorbed from the dialysate. c. the combined food restrictions are so complex. d. peritoneal dialysis causes taste changes and food aversions.

Nursing