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Placing the soiled linen on the floor before bagging it is unsanitary and violates infection control principles. It increases the risk of spreading pathogens to other surfaces, potentially contaminating the environment.

Holding the soiled linen against her body while carrying it to the linen bag risks transferring pathogens to the caregiver's clothing and skin, compromising personal hygiene and promoting contamination.

Shaking the soiled linen to remove any toilet paper remnants is ineffective and hazardous. It disperses potentially infectious particles, increasing the risk of contamination and compromising infection control efforts.

This statement is incorrect. Hospice care can be provided in various settings, including the client's own home, a hospice facility, or a long-term care facility. Admission to a long-term care facility is not a requirement for receiving hospice care.

This statement is incorrect. Hospice care focuses on providing comfort and quality of life rather than seeking a cure for the client's illness. The primary goal is to alleviate symptoms and support the client and their family through the end-of-life process.

This statement contains a typographical error ("dyes" instead of "days") and does not accurately reflect the purpose of hospice care. Hospice teams assist with managing symptoms, addressing emotional and spiritual needs, and providing support to the client and their family during the end-of-life journey.

Airborne:Airborne precautions are used for infections transmitted via small droplet nuclei that remain suspended in the air for long periods and can be inhaled by others. Examples of diseases requiring airborne precautions include tuberculosis, measles, and chickenpox. Pertussis is not transmitted via the airborne route.

Contact:Contact precautions are used for infections spread by direct or indirect contact with the client or their environment. Examples include Clostridioides difficile, methicillin-resistant Staphylococcus aureus (MRSA), and vancomycin-resistant enterococci (VRE). Pertussis is primarily spread through respiratory droplets rather than contact with contaminated surfaces.

Protective:Protective precautions, also known as reverse isolation, are used to protect clients who have compromised immune systems from exposure to pathogens. This precaution is not relevant for a client with pertussis; instead, the focus is on preventing transmission to others through droplet precautions.

Chronic drainage of fluid through the incision site:While chronic drainage of fluid through the incision site can be a sign of wound complications, such as infection or poor wound healing, it is not as specific an indicator of impending wound dehiscence as the patient's report of "something giving way."

Drainage that is odorous and purulent:
Odorous and purulent drainage from an incision site may indicate an infection, which can contribute to wound dehiscence. However, this finding alone may not necessarily indicate immediate wound dehiscence.

Protrusion of visceral organs through a wound opening:Protrusion of visceral organs through a wound opening is a severe complication known as evisceration, which is the most advanced stage of wound dehiscence. While this finding is indicative of a significant wound complication, it typically occurs after the initial separation of wound layers. Therefore, it is not an early sign that would alert the nurse to potential wound dehiscence

You should advance your weak leg forward to the cane, then move your strong leg:Advancing the weak leg first and then the strong leg is not the proper technique for using a cane. The correct method is to hold the cane on the stronger side and move the cane and the weaker leg forward together, followed by the stronger leg.

You should advance the cane 12 to 14 inches before taking a step:Advancing the cane 12 to 14 inches is too far. The cane should be advanced approximately 6 to 10 inches to maintain balance and support.

You should hold the cane in your weak hand when ambulating:The cane should be held in the stronger hand, not the weak hand. This allows the cane to provide support to the weaker side of the body and helps to balance the weight distribution more effectively.

"It might help if I tried sleeping only on my back."Sleeping on the back can actually worsen obstructive sleep apnea because gravity can cause the tongue and soft tissues to obstruct the airway more easily. The recommended position to reduce apneic episodes is to sleep on the side.

"I’ll sleep better if I take a sleeping pill at night."Taking a sleeping pill can relax the muscles of the throat, which might worsen sleep apnea by increasing the likelihood of airway obstruction during sleep.

"I’ll get a humidifier to run at my bedside at night."While a humidifier can make the air more comfortable to breathe, it does not directly reduce the number of apneic episodes. It might help with symptoms like dry mouth or nasal congestion but is not a primary treatment for obstructive sleep apnea.

Chocolate milk:Chocolate contains caffeine, which can contribute to sleep disturbances. It is not a recommended beverage for someone looking to decrease caffeine intake.

Diet cola:Cola contains caffeine, even in diet versions, which can contribute to sleep disturbances. Therefore, it is not suitable for decreasing caffeine intake.

Brewed iced tea:
Brewed iced tea contains caffeine, which can interfere with sleep. It is not a suitable option for someone trying to reduce caffeine consumption.

Increased blood pressure:In hypovolemia, the body experiences a significant loss of blood volume, which leads to a reduction in the amount of blood available to circulate through the vessels. This causes a drop in blood pressure, known as hypotension, rather than an increase. The body tries to compensate for the lower blood volume by constricting blood vessels and increasing heart rate, but this typically isn't sufficient to increase blood pressure to normal levels.

Decreased heart rate:The body's natural response to hypovolemia includes an increase in heart rate, known as tachycardia, as the heart attempts to pump the remaining blood more efficiently to vital organs. This compensatory mechanism aims to maintain cardiac output despite the decreased blood volume.

Dyspnea:
Dyspnea, or difficulty breathing, can occur in many medical conditions, including heart failure and respiratory issues. While it can be seen in severe cases of hypovolemia, particularly if the condition leads to shock and subsequent multi-organ failure, it is not a primary or specific sign of hypovolemia.

Stand on the left side of the bed:While a left-handed nurse might prefer to stand on the left side for better access, this choice depends on the room layout and client position. Standing on the side where the nurse is most comfortable is essential, but it is not the primary action compared to ensuring proper bed height.

Raise the side rail on the working side of the bed:
Raising the side rail on the working side of the bed could obstruct the nurse's access to the client and is not generally recommended during procedures requiring close access to the client.

Use the non-dominant hand to insert the catheter:The dominant hand, in this case, the left hand, should be used to insert the catheter for better control and precision. The non-dominant hand is typically used to hold the genitalia and provide stability.