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 D
Explanation
The correct answer is choice **D. Identify possible precipitating factors related to the infections**.
Choice D rationale:
As a charge nurse concerned about a recent increase in facility-acquired catheter infections, the first step should be to identify possible precipitating factors related to the infections. This involves conducting a thorough investigation to determine the root causes of the increased infection rates. By identifying the underlying factors, the nurse can then develop targeted interventions to address the specific issues and prevent further infections.
Choice A rationale:
While scheduling nursing staff training for infection control procedures is important, it should not be the first action taken. Before implementing training, it is crucial to identify the factors contributing to the increased infection rates to ensure that the training addresses the specific issues at hand.
Choice B rationale:
Meeting with providers to discuss measures to decrease the infections is a necessary step, but it should not be the first action. Providers need to be informed about the situation, but their input will be more valuable once the precipitating factors have been identified.
Choice C rationale:
Revising the current policy for catheter care may be necessary, but it should not be the first action. Policies should be based on evidence-based practices and tailored to address the specific issues identified through the investigation.
Correct Answer is ["B","C","D"]
Explanation
The nurse should give the client one simple direction at a time, reinforce orientation to time, place, and person, and establish eye contact when communicating with the client.
These interventions can help the client with dementia to understand and follow instructions, reduce confusion and anxiety, and enhance communication.
Choice A is wrong because allowing the client to choose among a variety of activities each day can overwhelm and frustrate the client with dementia.
The nurse should provide a structured and consistent daily routine for the client.
Choice E is wrong because refuting the client’s delusions using logic can increase the client’s agitation and distrust.
The nurse should use validation therapy to acknowledge the client’s feelings and emotions without arguing or correcting the client.
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