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 C
Explanation
A) Urinary frequency: This is a common and expected symptom during pregnancy, particularly in the first and third trimesters, due to hormonal changes and the growing uterus pressing on the bladder. It does not typically require reporting unless it is accompanied by pain or other concerning symptoms.
B) Faintness upon rising: While some women may experience dizziness or faintness due to hormonal changes or blood pressure fluctuations, it is not universally alarming unless it is frequent or severe. However, it’s important for the client to monitor this and report if it becomes problematic.
C) Swelling of the face: This is a concerning symptom that should be reported to the provider. Facial swelling can indicate possible preeclampsia, particularly when accompanied by high blood pressure or protein in the urine, and should be assessed promptly.
D) Bleeding gums: While some women may experience bleeding gums during pregnancy due to hormonal changes affecting the gums, it is generally not a significant concern unless it is severe or persistent. Regular dental care is advised, but it typically does not require immediate reporting to a healthcare provider.
Correct Answer is C
Explanation
A. "You are making progress in your treatment plan." While this response provides positive reinforcement, it doesn't address the client's feelings of frustration or desire to go home, potentially invalidating their emotions.
B. "You should call your partner to discuss this." Suggesting that the client call their partner shifts the focus away from their feelings and may not provide the immediate emotional support they need.
C. "It must be very frustrating for you to be here." This response acknowledges the client's feelings and validates their frustration. It opens the door for further discussion about their emotions, helping the client feel heard and understood.
D. "It would be best to discuss your feelings with your provider." This response may dismiss the client's current feelings by directing them away from the nurse, who is present and capable of providing support. It is important to validate the client's feelings first.
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