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A nurse is providing health teaching to a client about ways a communicable disease is transmitted by contact. Select all that apply.

Sharing a cell phone

Not wearing a mask

Sharing eating utensils

Sharing the O2 saturation equipment between clients

Touching others skin without washing hands

Opening doors using your foot when possible

Turning off the water faucet with paper towel

Answer and Explanation

Correct Answer : A,C,D,E

A.   Sharing personal items like a cell phone can transmit infectious agents through contact.
B.   Not wearing a mask primarily affects the transmission of airborne or droplet infections, not those transmitted by contact.
C.   Sharing eating utensils can transfer infectious agents through contact with saliva or oral secretions.
D.   Sharing equipment like O2 saturation equipment without proper disinfection between uses can transmit infections through contact.
E.   Touching others' skin without washing hands can transfer infectious agents through direct contact.
F.   Opening doors using your foot does not directly affect the transmission of infections through contact.
G.   Turning off the water faucet with a paper towel primarily reduces the risk of contact with germs on the faucet itself, not the transmission of infections through contact.

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Correct Answer is A

Explanation

A. Cleaning the wound from the inner to outer area helps prevent introducing microorganisms from the surrounding skin into the wound, reducing the risk of infection.
B. While preventing infection may indirectly reduce swelling associated with inflammation, the primary rationale for cleansing the wound in this manner is to minimize the introduction of microorganisms.

C. Pain reduction is not the primary goal of cleaning the wound from the inner to outer area, although minimizing the risk of infection may help prevent secondary pain caused by infection.
D. While maintaining a clean environment is essential for wound care, the goal of cleansing the wound in this manner is to reduce the risk of introducing microorganisms, not to achieve sterility.

A. Place the client on Contact Precautions. B. Apply cold compress on her left upper arm. C. Elevate the client's arm on a pillow. D. Take a wound culture every shift to determine if the infection is improving. E. Have RN initiate IV access for the client to receive fluids and antibiotic therapy. F. Administer subcutaneous sodium heparin every 12 hours.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"C"}}

Explanation

A. Placing the client on Contact Precautions is appropriate to prevent the transmission of MRSA to other patients and healthcare workers.
B. Applying a cold compress may worsen tissue damage and compromise blood flow, which can exacerbate the wound infection and cellulitis.
C. Elevating the client's arm can help reduce swelling and improve circulation, aiding in the resolution of cellulitis.
D. Taking a wound culture every shift is not necessary or useful, as it can be painful for the client and does not provide timely information on the infection status. A wound culture is usually done once before starting antibiotic therapy and then repeated only if there is no improvement or signs of worsening.
E. Initiating IV access for fluid and antibiotic therapy is necessary for treating the systemic infection caused by MRSA and cellulitis.
F. Subcutaneous sodium heparin is an anticoagulant that prevents blood clots, but it is not indicated for this client unless they have a history or risk of thromboembolic events, such as deep vein thrombosis or pulmonary embolism.

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A nurse is providing health teaching to a client about ways a communicable disease is transmitted by contact. Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with a large abdominal wound. The nurse knows to cleanse the wound from the inner to outer area. What is the rationale for cleaning the wound in this manner?

Correct Answer is A

Explanation

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"C"},"E":{"answers":"A"},"F":{"answers":"C"}}

Explanation

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