A client is admitted with an E. coli infection. To prevent spread of the infection, the nurse implements _____ precautions
1. standard
2. contact
3. droplet
4. airborne
ANS: 1
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An interdisciplinary team has been commissioned to create policies and procedures aimed at preventing acute hemolytic transfusion reactions. What action has the greatest potential to reduce the risk of this transfusion reaction?
A) Ensure that blood components are never infused at a rate greater than 125 mL/hr. B) Administer prophylactic antihistamines prior to all blood transfusions. C) Establish baseline vital signs for all patients receiving transfusions. D) Be vigilant in identifying the patient and the blood component.
Otoscopic examination of an elderly client reveals a red bulging membrane, with absent distorted light reflex. Which condition would the nurse suspect?
A) external otitis. B) ruptured tympanic membrane. C) otitis media. D) scar tissue.
A family is considering nursing home placement for their elderly parent. Which of the following interventions would be most appropriate for a nurse?
a. Suggesting the purchase of a nursing home insurance policy b. Suggesting the use of a specific checklist to collect data about potential facilities c. Suggesting having a family service worker to help with placement d. Suggesting consideration of using more in-home services
The nurse is caring for a client who has suffered a stroke. The client is now unable to speak, read, or write. She is also unable to understand spoken language. The nurse would document this as:
A) anomic aphasia. B) expressive aphasia. C) receptive aphasia. D) global aphasia.