During a home visit, the nurse notes that the caregiver does not apply clean gloves before removing the patient's leg wound dressings. What should the nurse do to encourage infection control practices in this home?
A. Place the box of gloves next to the sink in the bathroom.
B. Remind the caregiver to wash hands after completing wound care.
C. Encourage the caregiver to touch only the edges of the soiled dressings.
D. Place the box of gloves next to the bag used to discard soiled dressings.
Answer: D
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Which of the following would the nurse include in a teaching plan about the signs and symptoms of thrombophlebitis and thromboembolism that should be reported by a patient taking estrogen?
A) Cholestatic jaundice B) Amenorrhea C) Headaches and chest pain D) Breast tenderness
An older client is receiving feedings through a permanent feeding tube. Which nursing intervention will decrease this client's risk of aspiration?
1. Administer formulas that contain fiber. 2. Keep the head of the bed elevated at a 30 to 45 degree angle. 3. The risk of aspiration no longer exists after a permanent feeding tube has been placed. 4. Flush the tube with water before and after each medication administered through the tube.
Which of the following women most likely will not be a candidate to attempt a vaginal birth after having had a previous cesarean section?
A) A woman who had a cesarean section because of placenta previa B) A woman who had a cesarean section because of cephalopelvic disproportion C) A woman who has a gynecoid shaped pelvis D) A woman who had a cesarean section because of a breech presentation
The nurse also attempts to elicit rebound tenderness. Which of the following indicates positive rebound tenderness?
A) Pain during light palpation over the affected area B) Pain during deep palpation over the affected area C) Pain upon gradual withdrawal of fingers after light palpation D) Pain upon sudden withdrawal of fingers after deep palpation