The nurse is planning care for a patient at risk for developing an infection. Which intervention is the most important for the nurse to include in this patient's plan of care?
1. Wash hands prior to providing care to the patient.
2. Provide prophylactic antibiotic therapy as prescribed.
3. Wear a mask when caring for the patient.
4. Wear a gown and gloves when changing the patient's linen.
1
Rationale 1: Prevention is the most important control measure for nosocomial infections. The pathogens causing these infections are transmitted primarily by contact with hospital personnel and contaminated inanimate objects. Effective hand hygiene is the single most important measure in infection control.
Rationale 2: Prophylactic antibiotic therapy could lead to the development of bacteria-resistant microorganisms and should not be performed.
Rationale 3: The use of a mask is not needed to prevent the onset of infection in the patient.
Rationale 4: The use of a gown and gloves is not needed to prevent the onset of infection in the patient.
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A client asks about the difference between an abdominal hysterectomy and a laparoscopic-assisted vaginal hysterectomy (LAVH). What should the nurse explain to this client? Select all that apply
1. Recovery will be quicker with an abdominal hysterectomy. 2. The results are nearly the same between the two surgical approaches. 3. An abdominal hysterectomy is indicated for uterine bleeding and small fibroids. 4. Hospitalization will be longer with a laparoscopic-assisted vaginal hysterectomy. 5. A laparoscopic-assisted vaginal hysterectomy does not have an abdominal incision.
A nurse is describing the purposes of a health care record to a group of nursing students. Which purposes will the nurse include in the teaching session? (Select all that apply.)
a. Communication b. Legal documentation c. Reimbursement d. Nursing process e. Research f. Education