During the prodromal stage of an infection, which is the priority nursing intervention?

Develop a plan for gradually increasing activity and mobility.

Begin discharge planning and teaching.

Implement precautions to prevent disease transmission.

Offer the client frequent fluids and ice chips.

Answer and Explanation

The Correct Answer is C

A. Developing a plan for increasing activity and mobility is important but is not the immediate priority during the prodromal stage of an infection.
B. Discharge planning and teaching are relevant for patient management but not the priority during the early stages of infection.
C. Implementing precautions to prevent disease transmission is crucial during the prodromal stage, as this is when the infection may be most contagious. Preventing the spread of infection is the top priority.
D. Offering fluids and ice chips helps with comfort and hydration but does not address the prevention of disease transmission.

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Correct Answer is A

Explanation

A. Providing medical information to a family member who is not an approved interpreter may breach confidentiality and violate hospital policy. The nurse should ensure that communication is handled through approved channels to protect patient privacy.
B. While the healthcare provider will eventually share information with the client, the nurse should address the immediate need for proper communication with an approved interpreter.
C. This response is dismissive and does not address the issue of language barriers and the need for proper interpretation. It is important to handle language barriers professionally and respectfully.
D. The nurse should follow protocol for communication and interpretation, rather than making promises about when information will be provided.

A. Apply a lubricating lotion to the skin. B. Pad all bony prominences. C. Encourage a high protein diet. D. Bathe with a mild soap daily.

Correct Answer is A

Explanation

A. Applying a lubricating lotion helps to combat dryness and maintain skin moisture, which is particularly beneficial as skin turgor decreases with age. This is a direct way to address common skin issues in older adults.
B. Padding bony prominences helps to prevent pressure ulcers but does not address the issue of decreased skin turgor directly.
C. Encouraging a high-protein diet is beneficial for overall skin health and repair but is not specifically aimed at addressing the immediate changes in skin turgor due to aging.
D. Bathing with mild soap is gentle on the skin but does not specifically address the loss of skin turgor. Using a lotion or moisturizer directly addresses the dryness and potential discomfort associated with aging skin.

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During the prodromal stage of an infection, which is the priority nursing intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client, who speaks very little English, is being seen in the emergency department following an automobile accident. The client's sibling offers to act as an interpreter and asks about the laboratory results. Which response is best for the nurse to provide?

Correct Answer is A

Explanation

The nurse knows that skin turgor changes with age. Which intervention is most helpful in dealing with normal aging changes of the skin?

Correct Answer is A

Explanation

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