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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.”

Answer and Explanation

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.

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Correct Answer is C

Explanation

This is because chest percussion and postural drainage are airway clearance techniques that help remove thick mucus from the lungs of children who have cystic fibrosis. This can prevent respiratory infections and improve lung function.

Choice A is wrong because a bronchodilator should be administered before airway clearance therapy, not after. A bronchodilator helps open up the airways and make it easier to cough up mucus.

Choice B is wrong because pancreatic enzymes should be administered with meals and snacks, not on an empty stomach.

Pancreatic enzymes help digest fats, proteins, and carbohydrates in children who have cystic fibrosis. This can prevent malnutrition and growth failure.

Choice D is wrong because there is no need to restrict gluten intake for children who have cystic fibrosis, unless they also have celiac disease.

Gluten is a protein found in wheat, barley, and rye that can cause intestinal damage in people who have celiac disease. Cystic fibrosis does not affect the ability to tolerate gluten.

A. How to change the nondisposable tracheostomy tube daily. B. How to operate the portable suction machine. C. How to change the tracheostomy dressing using clean technique. D. How to secure the tracheostomy tube with ties at the back of the neck.

Correct Answer is B

Explanation

The nurse should include this information in the teaching because suctioning is often needed to keep the tracheostomy tube and opening free from extra mucus and secretions that come from the lungs and tissue around the stoma. Suctioning can help prevent the tube from becoming plugged and improve breathing.

Choice A is wrong because the nondisposable tracheostomy tube does not need to be changed daily. It can be changed every 1 to 3 months, depending on the type of tube.

Choice C is wrong because the tracheostomy dressing should be changed using sterile technique, not clean technique, to prevent infection.

Choice D is wrong because the tracheostomy tube should not be secured with ties at the back of the neck. The ties should be fastened at the front or side of the neck, and they should be snug but not too tight.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to the parents of a toddler who has cystic fibrosis. Which of the following instructions should the nurse include?

Correct Answer is C

Explanation

A nurse is providing discharge teaching to the partner of a client who has a tracheostomy. Which of the following information should the nurse include in the teaching?

Correct Answer is B

Explanation

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