The nurse is contributing to a staff education program about infection control. Which of the following information should the nurse recommend including as an example of a portal of exit for a pathogen in the chain of infection?
a. Central nervous system
b. Mucous membranes
c. Hair
d. Nails
ANS: B
The portal of exit is the route by which the infectious agent leaves the host, which has become a reservoir for infection: respiratory tract, skin, mucous membranes, gastrointestinal tract, genitourinary tract, blood, open lesions, or placenta.
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When using an interpreter to speak with an 84-year-old Chinese patient, on what should the nurse focus?
a. The patient, not the interpreter b. Encouraging the interpreter to paraphrase c. Limiting questions from the patient d. Listening to the words, not emotional tone
Two clients are roommates on an inpatient psychiatric unit. At breakfast, client "A," who had been missing her gold locket, notices client "B" wearing it
Which should a nurse recognize as a nonassertive or passive behavioral response from client "A"? A. Client "A" ignores the situation. B. Client "A" discusses the situation with her nurse and develops a plan of action. C. Client "A" immediately approaches client "B" and pulls the necklace off her neck. D. Client "A" offers to wash client "B's" clothes and "accidentally" spills bleach in the water.
What statements indicate that the patient has an understanding of assertive behavior? Se-lect all that apply
a. "Always stand up for your own rights." b. "I say what it takes to make my wishes known." c. "Talking really loud seems to get the focus on me." d. "I'm not uncomfortable telling someone ‘No' when I need to." e. "You don't have to ignore the rights of others to stand up for yourself."
The nurse is planning care for a patient diagnosed with shock. Which intervention should the nurse include to address this patient's problem of anxiety?
A. Assessing blood pressure and heart rate B. Reducing stimuli and medicating for pain C. Assessing bowel sounds D. Monitoring central venous pressure