The following procedures have been ordered and implemented for a hospitalized client. Which procedure carries the greatest risk for a nosocomial infection?
A) Enema
B) Intramuscular injections
C) Heat lamp
D) Urinary catheterization
Ans: D
Most nosocomial infections are caused by bacteria. Urinary tract infections, pneumonia, and bloodstream infections are the three most common nosocomial infections, most of which can be traced to an invasive device (e.g., a urinary catheter).
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A nurse plans care for a client who is at high risk for a pulmonary infection. Which interventions should the nurse include in this client's plan of care? (Select all that apply.)
a. Encourage deep breathing and coughing. b. Implement an air mattress overlay. c. Ambulate the client three times each day. d. Provide a diet high in protein and vitamins. e. Administer acetaminophen (Tylenol) twice daily.
An older male patient is upset by having to be admitted to a skilled nursing facility for extended care and renal dialysis treatments. What can the staff do to minimize this patient's anger? (Select all that apply.)
A) Recommend counseling for anger issues B) Respect the patient's private possessions C) Offer to assist with basic needs and desires D) Ask the patient to explain preferences for activities E) Provide the patient with areas for privacy or solitude
To provide spiritually competent care, what should the nurse do first?
1. Perform a physical assessment. 2. Perform personal values-clarification activities. 3. Read the patient's nursing history. 4. Research information on the patient's cultural group.
The nurse is caring for an adult client with shallow respirations. This is known as:
a. eupnea. b. hypoventilation. c. tachypnea. d. bradypnea.