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 can visit my nephew who has chickenpox 5 days after the sores have crusted."

"I should take antibiotics when I have a virus."

"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 A

A) This statement demonstrates an understanding of infection prevention related to chickenpox. The contagious period for chickenpox is typically considered to end once the sores have crusted over, making it safe to visit a person who has had chickenpox after this time. This reflects appropriate awareness of infectious disease protocols.

B) This statement reflects a misunderstanding about antibiotic use, as antibiotics are ineffective against viral infections. Taking antibiotics when they are not needed can lead to antibiotic resistance and other complications, highlighting the importance of understanding when to use these medications.

C) Washing hands for only 10 seconds, even with hot water, is insufficient for effective hand hygiene. The Centers for Disease Control and Prevention (CDC) recommends washing hands for at least 20 seconds to effectively remove pathogens, especially after gardening, which can introduce soilborne pathogens.

D) Cleaning a cat's litter box during pregnancy poses a risk for toxoplasmosis, a parasitic infection that can have serious consequences for the fetus. Pregnant women are advised to avoid this task or take precautions if they must do it, demonstrating a lack of understanding of specific infection risks associated with pregnancy.

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Correct Answer is D

Explanation

A) Flumazenil: Flumazenil is a benzodiazepine antagonist used to reverse the effects of benzodiazepine overdose. Since the client received hydromorphone, which is an opioid, flumazenil would not be the appropriate medication to administer in this situation. The respiratory depression is likely due to opioid use, so this option does not address the client’s specific needs.

B) Protamine: Protamine is a medication used to reverse the effects of heparin, an anticoagulant. It is not indicated for opioid overdose or respiratory depression caused by opioids. Therefore, administering protamine would not be relevant in this scenario and would not help address the client's low respiratory rate.

C) Acetylcysteine: Acetylcysteine is primarily used as an antidote for acetaminophen overdose and to help loosen mucus in conditions like cystic fibrosis. It does not have a role in reversing opioid effects. The client’s respiratory depression following hydromorphone administration would not be treated with acetylcysteine.

D) Naloxone: Naloxone is an opioid antagonist specifically designed to reverse the effects of opioid medications, including respiratory depression. Given that the client is experiencing a significantly low respiratory rate of 10/min after receiving hydromorphone, naloxone is the most appropriate medication to administer promptly to restore normal respiratory function.

A. A history of being in prison B. Male gender C. Previous violent behavior D. Experiencing delusions

Correct Answer is C

Explanation

A) A history of being in prison: While a history of incarceration can be associated with a higher risk for violence, it is not as strong a predictor as previous violent behavior. Many individuals may have been incarcerated for non-violent offenses.

B) Male gender: Although males are statistically more likely to engage in violent behavior, gender alone is not the best predictor of future violence. It does not account for individual history or behavior.

C) Previous violent behavior: This is the best predictor of future violence. Individuals who have exhibited violent behavior in the past are at a significantly increased risk of future violence. This history can be a critical indicator of potential risk.

D) Experiencing delusions: While delusions can contribute to violent behavior in some cases, they are not a reliable predictor of future violence. Not all individuals experiencing delusions will act violently, and many other factors must be considered.

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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 assessing a client who received hydromorphone 4 mg IV 15 min ago. The client has a respiratory rate of 10/min. The nurse should prepare to administer which of the following medications?

Correct Answer is D

Explanation

A charge nurse is teaching new staff members about factors that increase a client's risk to become violent. Which of the following risk factors should the nurse include as the best predictor of future violence?

Correct Answer is C

Explanation

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