The nurse is caring for a client who is at risk for experiencing hepatitis B. In order to prevent hepatitis B, the nurse should instruct the client to do which of the following?
1. Wash hands frequently, as the disease is transmitted fecal–orally.
2. Avoid alcohol.
3. Avoid contact with blood and body fluids.
4. Avoid contaminated food and water.
3. Avoid contact with blood and body fluids.
Rationale:
Hepatitis B is contracted through contaminated blood and body fluids. Hepatitis A is transmitted via the fecal–oral route. Laënnec's cirrhosis is the result of alcohol and hepatitis B and C. Contaminated food and water causes hepatitis A, not B.
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The home care nurse is teaching a patient in his home who was discharged from the hospital after thoracic surgery. The nurse instructs the patient on the importance of gradually increasing activity and:
A) Walking 1 mile 3 to 4 times a week B) Using weighs daily to increase arm strength C) Performing lower-extremity exercises daily D) Performing shoulder exercises 5 times daily
Which of the following questions is least appropriate to ask when taking a medication history?
a. use of over the counter medications b. drug allergies c. home remedies used d. all of the above are appropriate
A nurse manager recognizes that her staff's emotional responses to organizational change are similar to ____
a. Adaptation techniques b. Integrative tactics c. Symptoms of mental illness d. The grief model
An older adult client who is immobile because of illness and who previously had normal bowel function has not had a normal stool for several days. The nurse would assess this client for impaction by noting whether the client has:
1. a soft, nondistended abdomen. 2. reddened skin around the anus. 3. continuous seepage of loose stool. 4. an absence of bowel sounds.