A home health nurse is caring for a client who is receiving antibiotics via a central venous access device (CVAD). Which of the following actions should the nurse take to prevent infection?

Instruct the client to change the end caps of the CVAD daily.

Use clean technique when administering medication.

Clean blood spills on hard surfaces with isopropyl alcohol

Use disposable equipment whenever possible.

Answer and Explanation

The Correct Answer is D

A. Instruct the client to change the end caps of the CVAD daily: Changing the end caps daily is not recommended because frequent manipulation can increase the risk of contamination. End caps should be changed per agency protocol or when visibly soiled or compromised.

B. Use clean technique when administering medication: Medication administration through a CVAD requires sterile technique—not just clean technique—to prevent the introduction of microorganisms into the bloodstream, which can lead to sepsis.

C. Clean blood spills on hard surfaces with isopropyl alcohol: While isopropyl alcohol is useful for small disinfectant tasks, blood spills should be cleaned with a disinfectant effective against bloodborne pathogens, such as a bleach-based solution, to ensure complete decontamination.

D. Use disposable equipment whenever possible: Using disposable equipment minimizes cross-contamination and is a key strategy in preventing healthcare-associated infections. This is particularly important in home care settings where sterilization capabilities are limited.

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Correct Answer is C

Explanation

A. Presenting community education programs about stress management: This is a primary prevention strategy focused on reducing the risk of violence before it occurs by teaching coping skills and promoting mental well-being within the community.

B. Assessing for risk factors of partner violence during health examinations: This represents secondary prevention, which aims to identify and intervene early in potentially harmful situations before they escalate into full-blown violence.

C. Developing resources for victims of violence: This is tertiary prevention because it focuses on managing the long-term consequences of violence and preventing further harm or recurrence by supporting survivors through recovery and rehabilitation services.

D. Urging community leaders to make nonviolence a priority: This is a primary prevention strategy aimed at influencing policy and promoting a culture that reduces the likelihood of violence occurring in the first place.

A. "What are your hopes and plans for the future?" B. "How long did you know the person who died?" C. "Have you thought about harming yourself?" D. "What do others do for you that helps you the most?"

Correct Answer is D

Explanation

A. "What are your hopes and plans for the future?" This question helps assess the client's coping and outlook, which is important in grief counseling, but it does not directly provide information about the client's support systems.

B. "How long did you know the person who died?" This question explores the depth and duration of the relationship, which can help gauge the intensity of grief. However, it does not provide insight into who the client relies on now for emotional or practical support.

C. "Have you thought about harming yourself?" This is a critical safety question to assess for suicidal ideation, which should always be asked if there are concerns about the client’s mental health. However, it does not identify support systems; rather, it screens for immediate risk.

D. "What do others do for you that helps you the most?" This question directly explores the actions of support persons and reveals who is actively providing emotional or practical assistance. It helps the nurse understand the client's support network and the quality of that support, making it the best option for assessing support systems.

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A home health nurse is caring for a client who is receiving antibiotics via a central venous access device (CVAD). Which of the following actions should the nurse take to prevent infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following Interventions is an example of tertiary prevention?

Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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