Transmission-based precautions consist of precautions that are applied to individuals in the presence of known or suspected infectious agents that are spread by:
a. direct or indirect contact.
b. droplet routes.
c. airborne routes.
d. all of the above.
d
Transmission-based precautions are applied to indi
viduals in the presence of known or suspected infectious
agents that are spread by direct or indirect contact, droplet
or airborne routes. Whether used singly or in combination,
transmission-based precautions are always applied in addition
to standard precautions.
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A client has heparin-induced thrombocytopenia (HIT). The student nurse asks how this is treated. About what drugs does the nurse instructor teach? (Select all that apply.)
a. Argatroban (Argatroban) b. Bivalirudin (Angiomax) c. Clopidogrel (Plavix) d. Lepirudin (Refludan) e. Methylprednisolone (Solu-Medrol)
The nurse is providing teaching on how to administer nasal drops. Which of the following responses by the parents indicates a need for further teaching?
A) "We need to be careful not to stimulate a sneeze.". B) "She needs to remain still for at least 10 minutes after administration.". C) "Our daughter should lie on her back with her head hyperextended.". D) "We must not let the dropper make contact with the nasal membranes.".
A pregnant client complains of frequent heartburn. The client states that she has never had these symptoms before and wonders why this is occurring now. The best response that the nurse can provide is:
a. examine her dietary intake pattern and tell her to avoid certain foods. b. tell her that this is a normal finding during early pregnancy and will resolve as she gets closer to term. c. explain to the client that physiologic changes caused by the pregnancy make her more likely to experience these types of symptoms. d. refer her to her health care provider for additional testing because this is an abnormal finding.
A patient in traction reports severe pain from a muscle spasm. What is the nurse's priority action?
a) Assess the patient's body alignment. b) Give the patient prn pain medication. c) Notify the heath care provider. d) Remove some of the weights.