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 should take antibiotics when I have a virus.”
“I can visit my nephew who has chickenpox 5 days after the sores have crusted.”
“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 B
The correct answer is b. “I can visit my nephew who has chickenpox 5 days after the sores have crusted.”
Choice A rationale:
- Statement: “I should take antibiotics when I have a virus.”
- Rationale: This statement is incorrect. Antibiotics are medications that fight bacteria, not viruses. Taking antibiotics when you have a virus will not help you get better and can actually lead to antibiotic resistance.
Choice B rationale:
- Statement: “I can visit my nephew who has chickenpox 5 days after the sores have crusted.”
- Rationale: This statement is correct. Chickenpox is a highly contagious virus that is spread through the air by coughing and sneezing. However, a person with chickenpox is no longer contagious once all of the sores have crusted over. This typically happens about 5 days after the rash first appears.
Choice C rationale:
- Statement: “I should wash my hands for 10 seconds with hot water after working in the garden.”
- Rationale: This statement is partially correct. Handwashing is an important way to prevent the spread of infection. However, the water does not need to be hot. Warm or cold water is just as effective. It is also important to wash your hands for at least 20 seconds, not 10 seconds.
Choice D rationale:
- Statement: “I can clean my cat’s litter box during my pregnancy.”
- Rationale: This statement is incorrect. Cat feces can contain a parasite called Toxoplasma gondii, which can cause a serious infection called toxoplasmosis. Toxoplasmosis can be harmful to a developing baby. It is best to avoid cleaning cat litter boxes during pregnancy. If you must clean the litter box, wear gloves and wash your hands thoroughly afterwards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
This indicates that the client is receiving the therapeutic effect of magnesium sulfate, which is to prevent seizures by reducing neuromuscular excitability.
Magnesium sulfate is a mineral that is given intravenously to women with preeclampsia, a condition of high blood pressure, and protein in the urine during pregnancy, to reduce the risk of seizures or eclampsia. It can also prolong pregnancy for up to two days, allowing drugs that speed up the baby’s lung development to be administered.
Choice B is wrong because 1+ proteinuria via urine dipstick is not a therapeutic effect of magnesium sulfate, but a sign of preeclampsia.
Proteinuria indicates that the kidneys are not working properly and are leaking protein into the urine. Magnesium sulfate does not improve the outcomes for the baby and can cause side effects such as respiratory depression for the mother.
Choice C is wrong because a pulse rate of 100/min is not a therapeutic effect of magnesium sulfate, but a possible side effect.
Magnesium sulfate can cause vasodilation, which lowers blood pressure and increases heart rate. A normal pulse rate for an adult is between 60 and 100 beats per minute. A pulse rate higher than 100 beats per minute may indicate tachycardia, which can be caused by various factors such as anxiety, dehydration, fever, infection, or medication.
Choice D is wrong because urine output of 20 mL/hr is not a therapeutic effect of magnesium sulfate, but a sign of kidney failure. A normal urine output for an adult is between 800 and 2000 mL per day or about 30 to 80 mL per hour. A urine output lower than 30 mL per hour may indicate oliguria, which can be caused by various factors such as dehydration, blood loss, shock, or kidney damage. Magnesium sulfate can cause renal toxicity if given in high doses or for prolonged periods.
Correct Answer is D
Explanation
This test should be performed after your baby is 24 hours old. This is because newborn genetic screening is a set of laboratory tests that detect a set of known genetic diseases that can affect a child’s long-term health or survival. The test is performed on a blood sample obtained from a heel prick when the baby is two or three days old. Performing the test after 24 hours ensures that the baby has had enough time to metabolize certain substances that could interfere with the accuracy of the test.
Choice A is wrong because the blood sample is not drawn from the baby’s inner elbow, but from the heel.
Choice B is wrong because the baby does not need to drink water prior to the test, as this could dilute the blood sample and affect the results.
Choice C is wrong because the test does not need to be repeated when the baby is 2 months old, unless there is a positive or inconclusive result from the first test.
Newborn genetic screening is important for early detection and intervention of certain conditions that can cause serious health problems or disability if left untreated. Parents should be informed about the benefits and limitations of the test, as well as their rights and options regarding consent and confidentiality.
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