A nurse is caring for a patient with gastroenteritis caused by Clostridium difficile. What action is most important for reducing the transmission of this disease?
a. Disinfecting the bedpan with an antiseptic solution
b. Using antibacterial hand soap when washing the hands
c. Using an alcohol-based hand rub after each patient contact
d. Wearing gloves while caring for the patient
ANS: B
All of these measures are appropriate for this patient; however, using an antibacterial hand soap is the most important, because only an antimicrobial soap is effective against a spore-forming bacterium, such as C. difficile.
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Which older patient would the nurse identify as being at the highest risk of dehydration from receiving nutrition through a feeding tube?
1. Receiving bolus feedings 2. Receiving 50 ml free water at 4-hour intervals 3. Receiving feedings through a jejunostomy tube 4. Receiving feedings with a formula that is 1.5 calories per ml
The nurse is reviewing the characteristics of third degree AV heart block and understands the reason for not having a correlation between the P waves and the ventricles is which of the following?
a. The electrical stimulation is not reaching the ventricles so the atria and ventricles contract at their own pace b. The ventricles are conducting to fast for the atria to keep up c. The atria are conducting too fast for the ventricles to keep up d. The atria are quivering so not all the impulses reach the ventricles
A physician has ordered transcutaneous electrical nerve stimulation (TENS) for a client with back pain. Which of the following candidates is most suitable for TENS?
A) Client who is an athlete B) Client who is pregnant C) Client with a cardiac pacemaker D) Client with atrial fibrillation
The client is asking if there is a pill that can be ordered to control the symptoms of menopause. Which assessment finding is most important in determining nursing care in association with hormone replacement therapy?
A) Presence of kyphosis B) Symptoms of hot flashes C) Family history of breast cancer D) History of osteoporosis