The nurse is caring for a client who may have an ear infection. Which intervention is used to prevent spread of the infection to other clients?
a. A new sterile otoscope speculum is used to examine each of the client's ears.
b. The nurse washes his hands after removing hearing aids from the client's ears.
c. Hearing aids are cleaned with alcohol be-fore they are re-inserted into the client's ears.
d. The tuning fork is cleaned with hydrogen peroxide before and after use with the client.
B
Washing hands after removal of a hearing aid should prevent any spread of infection between clients. Hearing aids may harbor infectious microorganisms, especially in clients who may have an ear infection. The other answers pertain to the possible spread of infection from one ear to the other—not to other clients.
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What size syringe will you use to draw up the recommended amount of diluent?
What will be an ideal response?
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What type of education would be appropriate for you to provide for Mrs Afualo and her family prior to her discharge?
A 60-year-old female patient, Mrs Teuila Afualo, presents at the day surgery unit (DSU) for an open repair of an umbilical hernia at 8 am. She is of Islander background and has brought several of her family members with her. On admission, you calculate her body mass index (BMI) to be 38, note that her respirations are shallow and rapid, and that she appears to be extremely anxious. Her medical history highlights that she has type 2 diabetes, which is managed with metformin, although she tells you that she has not been diligent about taking or recording her blood glucose level (BGL) regularly. She also informs you that a ‘couple of months ago' her GP prescribed tablets to treat her cholesterol and her blood pressure but she can't remember the names of them, and her son doesn't know them either. She has not taken any of these medications prior to her admission, her reason being that she was fasting. Her BP is 160/90 mmHg and her fasting BGL is found to be 12 mmol/L. You also identify that Mrs Afualo did not attend the preadmission clinic. She explains that she could not attend because her son was not available to drive her. Consequently, she has not had a preoperative chest X-ray (CXR) or any blood tests as per her surgeon's protocols. A check of Mrs Afualo's consent form in the presence of her son reveals it has not been signed and that she is somewhat confused about her intended surgery. What will be an ideal response?