The nurse assess the client who had abdominal surgery 3 days ago, noting that the incision is red and draining greenish fluid and that the client complains of increased incisional pain
Which should the nurse implement first to prevent transmission of a potential pathogen? 1. Gather supplies for contact isolation.
2. Report the assessment to the provider.
3. Place the client on contact precautions.
4. Instruct visitors on contact precautions.
3
3. First, the nurse places the client on contact precautions because the incision is red and draining greenish fluid, clinical indicators of infection. The nurse implements isolation techniques quickly to disrupt transmission and to protect the health care team and other clients from potential exposure to a pathogen.
1. After establishing transmission precautions, the nurse gathers PPE and other ne-cessary supplies for the isolation room to avoid unnecessary movement in and out of the room.
2. After arranging contact precautions and isolation, the nurse notifies the provider for new prescriptions.
4. The nurse instructs all visitors about hand washing and wearing gloves and gowns to contain the pathogen in the client's room and to prevent exposure of the visitors while in the isolation room.
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A nurse assesses an older adult's skin. Which findings require immediate referral? (Select all that apply.)
a. Excessive moisture under axilla b. Increased hair thinning c. Increased presence of fungal toenails d. Lesion with various colors e. Spider veins on legs f. Asymmetric 6-mm dark lesion on forehead
The nurse advises the parents of a 6-year-old to try and ensure at least ______ hours of sleep daily for the child
ANS:
The Joint Commission suggests that organizations conduct at least how many emergency drill(s) per year?
1. One 2. Two 3. Three 4. Four
In planning sex education classes for the 12- to 15-year-old age group, more emphasis should be placed on which?
a. How to set limits for sexual behavior b. The inaccuracy of information from peers c. The use of oral contraceptives to prevent unwanted pregnancy d. The use of condoms to prevent sexually transmitted diseases as well as pregnancy