The nurse is implementing precautions to prevent the spread of methicillin-resistant Staphylococcus aureus (MRSA) among the clients on a care area. The type of precautions for this disease process are:
a. standard precautions. c. strict isolation.
b. airborne precautions. d. droplet precautions.
ANS: A
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The nurse at a mental health clinic is conducting an initial assessment on a patient who has been referred by the student health center at the university the patient attends. The patient had been brought to the health center by a member of the faculty
when the patient began hallucinating during class. Which factor revealed during the assessment will the nurse consider a priority for care? 1. The patient has poor hygiene. 2. The patient is 20 years old. 3. The patient is single and lives off campus with a roommate who "is never around." 4. The patient's grades have plummeted this semester.
The medical treatment for a hypoglycemic reaction is administration of 45 g of simple carbohydrate as soon as possible
Indicate whether the statement is true or false
The daughter of an older patient who is a resident of a nursing home suspects the patient is a victim of abuse. What should the nurse suggest that the daughter do about this situation? Select all that apply.
1. Visit the facility at varied times. 2. Do nothing until evidence is obtained. 3. Realize that the patient can be confused. 4. Participate in the resident's council. 5. Actively participate in care plan meetings.
Which lifestyle strategy would the nurse teach the client to promote healthy weight reduction?
1. Avoid eating between meals by consuming only three meals per day. 2. Reduce the intake of calories and increase the amount of physical activity. 3. Consume fruits and vegetables daily and eliminate all intake of meat and fish. 4. Begin a program of weight lifting and high-impact aerobic exercise.