The client who will undergo a lumbar puncture has her skin cleansed with chlorhexidine. What is the nurse's best response when asked why this solution is used to clean the skin?
A. "Chlorhexidine has sustained antimicrobial activity after application."
B. "Chlorhexidine acts as a local anesthetic to reduce the pain of this procedure."
C. "Chlorhexidine helps desensitize the skin so there is less allergic reaction."
D. "Ordinary soap would be a fine alternative to chlorhexidine."
C
Chlorhexidine is considered the least reactive and most effective skin preparation for interven-tions requiring aseptic technique. It combines with the upper layer of the skin, providing a sus-tained antimicrobial action after application.
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The nurse is assessing an older patient's respiratory status. What factors related to aging can predispose this patient to pneumonia?
Select all that apply. 1. slower respiratory rate 2. less effective cough 3. immobility 4. increased pain response 5. fixed income
The perinatal nurse is assessing Karen, a 32-year-old G5 TPAL 2204 woman at 36 weeks gestation. Her fundal height measurement was last recorded at 34 centimeters
Karen's abdomen appears to be widest from side to side and no fetal part is palpated in the fundal portion of the uterus or above the symphysis pubis. The perinatal nurse suspects the possibility of what type of presentation: A) Breech B) Shoulder C) Cephalic D) Face
After receiving a health risk assessment, a client with HIV is told that they have hypercholesterolemia. To reduce the high levels cholesterol the nurse instructs the client to:
1. Limit exercise to avoid fatigue. 2. Avoid low-fat milk, cheese, and yogurt. 3. Limit all meat intake. 4. Remove the skin from meat.
Which are recommendations made by the World Health Organization's Commission on Social Determinants of Health (CSDH)? (Select all that apply.)
A) Improve conditions under which all people are born, grow, live, work, and age B) Provide increased funding for research of genetic disorders C) Ensure more equitable distribution of power, money, and resources D) Instill a sense of personal responsibility for one's health in each person E) Expand knowledge of the social determinants of health