The nurse needs to change a patient's abdominal wound dressing. Which precautions should be implemented?
1. Standard precautions
2. Contact precautions
3. Droplet precautions
4. Airborne precautions
1
Rationale 1: Standard precautions are used on all patients, regardless of whether they have a known infectious disease. Standard precautions are used by all health care workers who have direct contact with patients or with their body fluids. Because the patient has an abdominal dressing, the nurse will use standard precautions.
Rationale 2: The patient does not have a diagnosed wound infection, so contact precautions are not necessary.
Rationale 3: The patient does not have a diagnosed disorder that would necessitate droplet precautions.
Rationale 4: The patient does not have a diagnosed disorder that would necessitate airborne precautions.
You might also like to view...
A patient is scheduled for surgery the next day and the different phases of the patient's surgical experience will require input from members of numerous health disciplines. How should the patient's care best be coordinated?
A) By planning care using a surgical approach B) By identifying the professional with the most knowledge of the patient C) By implementing an interdisciplinary approach to care D) By using the nursing process to guide all aspects of care and treatment
Which statement by the nurse who has been working with a child with ADHD might indicate
overinvolvement with the child and a need for supervision? a. "There are times I want to spank him, like when he throws things.". b. "He is beginning to concentrate more when he plays.". c. "He responds best when I stay calm and neutral.". d. "Decreasing environmental stimuli helps him concentrate.".
A patient who is taking delavirdine (Rescriptor) as part of combination therapy for human im-munodeficiency virus (HIV) complains of rash, fever, and headache. Which of the following in-terpretations is accurate regarding this patient's symptoms?
a. This patient's symptoms are most compatible with a frequent adverse drug effect. b. This patient's symptoms are most compatible with lack of adherence to dosing schedule. c. This patient's symptoms are most compatible with a hypersensitivity reaction to the drug. d. This patient's symptoms are most compatible with worsening of the HIV infec-tion.
There were many historical eras in which society was involved in nursing care.Which era involved the appointment of Dorothea Dix as superintendent of female nurses?
A) Victorian era B) Colonial America era C) Civil War era D) Renaissance era