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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Donning sterile gloves prior to the procedure is essential to maintain a sterile field and prevent contamination during catheterization. This practice is critical for ensuring the accuracy of the urine culture by avoiding the introduction of bacteria from the environment.
B) While EMLA cream can be used to numb the area and minimize discomfort, it is not a required step for catheterization in toddlers and may not always be available or necessary. The primary focus should be on maintaining sterility during the procedure.
C) A 12-French catheter may be too large for a toddler, who typically requires a smaller catheter size (usually 8-10 French) to minimize trauma and discomfort. Using the appropriate size is crucial for ensuring a successful procedure.
D) Discarding the first 10 mL of urine is not standard practice for urine cultures obtained via catheterization, as the first portion of urine collected is typically the cleanest and most reflective of the bladder contents. For accurate culture results, the initial sample should be collected and sent for testing.
Correct Answer is D
Explanation
A) Rotate health care staff caring for the client: While having a variety of staff can provide different perspectives, it may not be the best approach for immunosuppressed clients. Consistency in care is often more beneficial, as it helps to minimize exposure to different pathogens.
B) Monitor the client's vital signs every 12 hr: Monitoring vital signs is important, but for clients with immunosuppression, more frequent monitoring is often necessary. This can help detect early signs of infection or complications that may arise more rapidly in this population.
C) Provide fresh fruit with the client's meals: Fresh fruits can pose a risk of bacterial contamination, particularly for immunosuppressed clients. It is generally safer to provide cooked fruits or fruit that has been properly washed and peeled to minimize this risk.
D) Inspect the client's mouth every 8 hr: Regular oral assessments are crucial for clients experiencing immunosuppression, as they are at a higher risk for oral infections and mucositis. This intervention allows for early detection and management of any abnormalities, thus promoting better overall health.
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