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 B

Explanation

A) Ensuring that the client's family supports the provider's decision for surgery is important, but it is secondary to confirming that the healthcare surrogate is informed about the risks and benefits. The family’s emotional support is valuable, but informed consent is paramount.

B) Determining if the client's health care surrogate is aware of the risks and benefits of the procedure is crucial. Since the client is in a coma and unable to provide informed consent, the surrogate must be fully informed to make appropriate decisions regarding the client's care. This ensures that the rights and wishes of the client are upheld.

C) Sending the unsigned informed consent form to the facility's risk manager may be a procedural step in some situations, but it does not directly address the immediate need for informed consent or ensure that the healthcare surrogate understands the implications of the procedure. This action can be part of post-decision documentation but is not the first priority.

D) Determining if the procedure is medically necessary is important; however, the immediate concern is ensuring that informed consent is obtained from the health care surrogate. Understanding the necessity of the procedure can be part of the discussion with the surrogate but does not replace the need for informed consent.

A. Increase intake of milk products. B. Sweeten foods with fructose corn syrup. C. Increase intake of foods high in gluten. D. Consume foods high in fiber.

Correct Answer is D

Explanation

A) Increase intake of milk products: Many individuals with irritable bowel syndrome (IBS) may experience lactose intolerance, leading to bloating and discomfort from milk products. Therefore, increasing dairy intake is not typically recommended.

B) Sweeten foods with fructose corn syrup: Fructose can exacerbate symptoms in some people with IBS, as it can lead to digestive upset. Instead, it’s best to limit foods high in fructose corn syrup.

C) Increase intake of foods high in gluten: Gluten may cause issues for individuals with specific sensitivities or celiac disease, and for some with IBS, it may trigger symptoms. Thus, increasing gluten intake is not advisable.

D) Consume foods high in fiber: Increasing dietary fiber is generally recommended for individuals with IBS, as it can help regulate bowel movements and improve overall digestive health. Soluble fiber, in particular, is beneficial and can help alleviate symptoms.

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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 caring for a client who is in a coma and is scheduled for a surgical procedure. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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