The nurse is caring for a hospitalized client who has AIDS and is severely immune compromised. Which interventions are used to help prevent infection in this client? (Select all that apply.)
a. Use sterile gloves and gowns whenever the nursing staff is in contact with the client.
b. Provide an incentive spirometer to en-courage coughing and deep breathing by the client.
c. Keep a blood pressure cuff, thermometer, and stethoscope in the client's room for his or her use only.
d. Use N95 respirators (all nursing staff) when in the client's room.
e. Request that the family take home the fresh flowers that are at the client's bed-side.
f. Assist the client with meticulous oral care after meals and at bedtime.
B, C, E, F
The nursing staff should encourage coughing and deep breathing to prevent pneumonia, and in-centive spirometry will be helpful. Assessment equipment such as thermometers and blood pres-sure cuffs should be kept in the room only for the use of this client, rather than being used by other clients on the unit as well. Fresh flowers can harbor microorganisms and should be removed from the room. Meticulous oral care will help to prevent infection by Candida.
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When assessing patient with reduced cerebral perfusion, the nurse should be alert for which early finding?
A) Angina B) Claudication C) Altered mental status D) Dyspnea
A client with an active sex life tells the nurse that she delayed her daily intake of the progestin-only pill by 6 hours the previous day. What should the nurse encourage the client to do?
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The nurse applies the nursing process to a case in which a client has been exposed to an environmental contaminant. The nurse considers the question, "Has the exposure pathway been interrupted?"
This question would be considered during which phase of the nursing process to examine the impact of the environment on human health? A) Assessment B) Planning C) Intervention D) Evaluation