A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?
“I should take antibiotics when I have a virus.”
“I can visit my nephew who has chickenpox 5 days after the sores have crusted.”
“I should wash my hands for 10 seconds with hot water after working in the garden.”
“I can clean my cat’s litter box during my pregnancy.”
The Correct Answer is B
The correct answer is b. “I can visit my nephew who has chickenpox 5 days after the sores have crusted.”
Choice A rationale:
- Statement: “I should take antibiotics when I have a virus.”
- Rationale: This statement is incorrect. Antibiotics are medications that fight bacteria, not viruses. Taking antibiotics when you have a virus will not help you get better and can actually lead to antibiotic resistance.
Choice B rationale:
- Statement: “I can visit my nephew who has chickenpox 5 days after the sores have crusted.”
- Rationale: This statement is correct. Chickenpox is a highly contagious virus that is spread through the air by coughing and sneezing. However, a person with chickenpox is no longer contagious once all of the sores have crusted over. This typically happens about 5 days after the rash first appears.
Choice C rationale:
- Statement: “I should wash my hands for 10 seconds with hot water after working in the garden.”
- Rationale: This statement is partially correct. Handwashing is an important way to prevent the spread of infection. However, the water does not need to be hot. Warm or cold water is just as effective. It is also important to wash your hands for at least 20 seconds, not 10 seconds.
Choice D rationale:
- Statement: “I can clean my cat’s litter box during my pregnancy.”
- Rationale: This statement is incorrect. Cat feces can contain a parasite called Toxoplasma gondii, which can cause a serious infection called toxoplasmosis. Toxoplasmosis can be harmful to a developing baby. It is best to avoid cleaning cat litter boxes during pregnancy. If you must clean the litter box, wear gloves and wash your hands thoroughly afterwards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A vertebroplasty is a procedure that injects cement into a fractured vertebra to help relieve pain and stabilize the spine. The recovery time for this procedure is usually short and the complications are rare.
Therefore, this client is most likely to be stable and ready for early discharge.
Choice A is wrong because a client who is receiving heparin for deep-vein thrombosis (DVT) needs close monitoring of their blood levels and clotting factors. Heparin is a blood thinner that prevents the clots from getting bigger or breaking loose and traveling to the lungs, which can cause a life-threatening condition called pulmonary embolism (PE).
This client is not a good candidate for early discharge.
Choice C is wrong because a client who has cancer and a sealed implant for radiation therapy needs to be isolated in a special room to prevent exposure of others to radiation. A sealed implant is a smallholder that contains a radioactive source that is placed inside or near the tumor to deliver high doses of radiation. This type of internal radiation therapy, also called brachytherapy, can last from several minutes to several days, depending on the type and dose of the radioactive source.
This client is not a good candidate for early discharge.
Choice D is wrong because a client who has COPD and a respiratory rate of 44/min has signs of respiratory distress and possible hypoxemia (low oxygen levels in the blood).
COP
Correct Answer is D
Explanation
This is because placing a wedge under one of the hips can help prevent compression of the inferior vena cava by the uterus, which can compromise placental blood flow and cause fetal hypoxia. Placing a wedge under the hip can also help reduce the risk of maternal hypotension, which can also affect fetal oxygenation.
Choice A is wrong because inserting a pillow under the client’s knees can increase the risk of thromboembolism, which is a potential complication of cesarean birth.
Choice B is wrong because positioning the client in reverse Trendelenburg can increase the risk of maternal aspiration, which is another potential complication of cesarean birth.
Choice C is wrong because assisting the client into the lithotomy position can also compress the inferior vena cava and reduce placental blood flow. The lithotomy position is also not necessary for cesarean birth, as the baby is delivered through an incision in the abdomen and uterus.
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