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 C

Explanation

A) Leaving a nasogastric tube clamped after administering oral medication: Leaving a nasogastric tube clamped after administering oral medication can lead to complications such as aspiration or improper medication delivery. However, it is not typically classified as malpractice unless it results in significant harm to the patient.

B) Documenting communication with a provider in the progress notes of the client’s medical record: Documenting communication with a provider in the progress notes is a standard and necessary practice in nursing. It ensures that there is a clear record of the care provided and any instructions given by the healthcare provider.

C) Administering potassium via IV bolus: Administering potassium intravenously as a rapid injection (bolus) can be extremely dangerous and potentially lethal. Potassium should be administered slowly to avoid causing cardiac arrest. This action is a clear example of malpractice due to the severe risk it poses to the patient.

D) Placing a yellow bracelet on a client who is at risk for falls: Placing a yellow bracelet on a client who is at risk for falls is a standard safety measure to alert staff to the client’s fall risk. This action is part of good nursing practice and helps prevent potential injuries.

A. Enhanced mood B. Increased food intake C. Can perform ADLS independently D. Improved short-term memory

Correct Answer is D

Explanation

A. Enhanced mood: While a better mood can be beneficial for overall well-being, it is not a direct measure of donepezil's effectiveness, which primarily targets cognitive function.

B. Increased food intake: Improved appetite may occur, but it is not a primary indication of the effectiveness of donepezil, which focuses on cognitive enhancement.

C. Can perform ADLs independently: Although increased independence in activities of daily living (ADLs) is positive, it may not solely be attributed to donepezil, as various factors affect a person's ability to perform ADLs.

D. Improved short-term memory: This is the most direct indicator of donepezil's effectiveness, as the medication is designed to improve cognitive function, particularly in individuals with Alzheimer’s disease or other types of dementia. Enhanced short-term memory directly reflects the intended therapeutic effect of the medication.

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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 preparing an in-service for a group of nurses about malpractice issues in nursing. Which of the following examples should the nurse include in the teaching as an example of malpractice?

Correct Answer is C

Explanation

A nurse in a long-term care facility is providing care for a client who has been receiving donepezil. Which of the following findings indicates that the medication is effective?

Correct Answer is D

Explanation

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