A client has just received a new liver. What type of precautions are taken with this client?
a. standard precautions c. reverse isolation
b. negative pressure room d. complete isolation
C
Clients who receive a major organ, such as a heart, lung, pancreas, or liver, are placed in reverse isolation in the hospital setting for at least 2 weeks. They are carefully observed for signs of rejection. Exposure to others is limited. Before discharge, they are taught to avoid contact with anyone who may have an infection and to wear a mask whenever out in public.
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The nurse is caring for a patient who is human immunodeficiency virus (HIV) positive and is taking high doses of zidovudine (Retrovir). The nurse is providing patient education about the adverse effects of the medication
Which statement by the patient demonstrates a need for further teaching? a. "I may experience fatigue from anemia." b. "I may be more susceptible to infection from neutropenia." c. "I may have a deficiency of vitamin B6." d. "I may have a deficiency of folic acid."
The parents of a newborn who is being treated for bacterial septicemia ask the nurse why their baby didn't seem very ill. The nurse's best response would be:
1. "A newborn's immune system isn't mature, so symptoms are vague." 2. "You would have seen more symptoms if you were looking closely." 3. "A fever will be present in sick newborns, including your baby." 4. "A mother's immunity usually protects the infant from illness."
A nurse has brought the patient his scheduled pain medication. The patient asks the nurse to wait to give pain medication until the time for the dressing change, which is 2 hours away. Which response by the nurse is most therapeutic?
a. "This medication will still be providing you relief at the time of your dressing change." b. "OK, swallow this pain pill, and I will return in a minute to fill your wound." c. "Would you like medication to be given for dressing changes on top of your regularly scheduled medication?" d. "Your medication is scheduled for this time, and I can't adjust the time for you. I'm sorry, but you must take your pill right now."
In moving away from a disease prevention health care system, the focus of nursing has shifted to which type of health care?
A) Primary B) Secondary C) Tertiary D) Both primary and secondary