Which of the following populations within the hospital should be the focus of infection control when a nurse is trying to decrease the rate of nosocomial infections?
a. The staff working in the operating room and the emergency department, where open wounds are frequent
b. The clients with indwelling portals of entry, such as Hickman catheters
c. The cleaning/maintenance personnel, who must maintain high standards of cleanliness in the hospital
d. The visitors coming into the facility, who are bringing outside organisms into the hospital
ANS: B
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A patient is being evaluated for development of chronic obstructive pulmonary disease. Which symptom is most likely to indicate this disease process?
A) Clubbing of fingernails B) Chronically elevated carbon dioxide level C) Development of barrel chest D) Impaired expiratory air volume
The nurse is caring for an obese patient who is tearful and wants diet pills to control the weight. Select the most appropriate response by the nurse
a. "Let's begin with a comprehensive diet, exercise, and behavior management pro-gram." b. "Drugs are the cornerstone of an effective weight-loss program for people who are obese rather than just overweight." c. "Drugs are indicated only for patients who have no health risks from their obesi-ty." d. "Drugs produce an excessively rapid weight loss, which could be hazardous to your heart."
What is the pediatric nurse's best defense against an accusation of malpractice or negligence?
1. Following the physician's written orders 2. Meeting the scope and standards of practice for pediatric nursing 3. Being a nurse practitioner or clinical nurse specialist 4. Acting on the advice of the nurse manager
A client's fetal heart rate tracing has a consistent late deceleration pattern. What actions should the nurse take at this time? Select all that apply
1. Prepare for cesarean birth. 2. Increase intravenous fluids. 3. Monitor maternal blood pressure. 4. Position client on the left side. 5. Apply oxygen 7 to 10 L via face mask.