There has been an outbreak of communicable diseases in the community. To reduce parental anxiety, the nurse presents information about disease at the school's Parent Teacher Association meeting
Which vectorborne diseases, not communicable from person to person, should the nurse include in the teaching session? Select all that apply. 1. Measles
2. Whooping cough
3. Rocky Mountain spotted fever
4. West Nile virus
5. Lyme disease
3, 4, 5
Explanation:
1. Rubeola, or measles, is caused by a virus and is transmitted person to person.
2. Pertussis, or whooping cough, is caused by a gram-positive coccobacillus called Bordetella pertussis and is spread person to person.
3. Rocky mountain spotted fever is a vectorborne disease spread by a tick.
4. West Nile virus is transmitted by a mosquito, a vector, and is not transmitted person to person.
5. Lyme disease is also a vectorborne disease spread by a tick.
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When caring for a client at a health care facility, the nurse discovers that the client is unable to read or write. Which of the following teaching approaches is most useful for the client?
A) Teach the client basic reading and writing. B) Use verbal and visual presentation modes. C) Keep the teaching sessions short. D) Involve the client in an active way.
The provider wants to remove the client's NGT with low suction to discharge the client. Which does the nurse implement to determine whether the client is ready for discharge?
1. Assess the client for self-care at home. 2. Aspirate the gastric secretions for 2 hours. 3. Offer food and fluid before tube removal. 4. Clamp tube for 4 hours and reassess client.
The primary physician orders a narcotic analgesic for a patient in labor. Which situations would lead the nurse to hold the medication? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Contraction pattern every 3 minutes for 60 seconds 2. Fetal monitor tracing showing late decelerations 3. Patient sleeping between contractions 4. Blood pressure 150/90 5. Blood pressure 80/42
Which of the following is the best definition for "standard of care"?
a. What a reasonably prudent nurse would do in the same situation b. What is currently being advocated in nursing textbooks c. What has been outlined in the policies and procedures of the agency d. What the customary traditional practices in the community are