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 can visit my nephew who has chickenpox 5 days after the sores have crusted."

"I should take antibiotics when I have a virus."

"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."

Answer and Explanation

The Correct Answer is A

A.   Correct. Chickenpox is contagious until the sores have crusted over, which generally takes about 5-7 days. Visiting after this period reduces the risk of infection.
B.   Incorrect. Antibiotics are not effective against viruses; they treat bacterial infections.
C.   Incorrect. Handwashing should be done with soap and water for at least 20 seconds, not 10 seconds, to effectively remove germs.
D.   Incorrect. Cleaning a cat's litter box during pregnancy is not recommended due to the risk of toxoplasmosis, a parasitic infection.

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Correct Answer is D

Explanation

A.Induration after a Mantoux test is a common response and does not necessarily require follow-up care.
B.A potassium level of 3.6 mEq/L is within the normal range (3.5-5.0 mEq/L).
C.Sodium phosphate is commonly used for bowel preparation before procedures like colonoscopy.
D.Correct. An INR of 1.8 for a client on warfarin is below the therapeutic range (usually 2.0- 3.0 for most indications), indicating that the client's blood may not be adequately anticoagulated. This requires follow-up to adjust the warfarin dose.

A. Take antacids that contain mint for heartburn. B. Increase dietary intake of citrus fruits. C. Avoid consuming foods containing chocolate. D. Lie down for 30 min after eating a meal.

Correct Answer is C

Explanation

Choice C rationale:

Avoiding consuming foods containing chocolate is important for individuals with gastroesophageal reflux disease (GERD) Chocolate contains substances that can relax the lower esophageal sphincter, allowing stomach acid to flow back into the esophagus, worsening GERD symptoms. Therefore, the nurse should include this information in the discharge teaching to help the client manage GERD effectively.

Choice A rationale:

Taking antacids that contain mint for heartburn is not recommended. Mint can relax the lower esophageal sphincter, similar to chocolate, potentially worsening GERD symptoms. Therefore, clients with GERD should avoid mint-containing products.

Choice B rationale:

Increasing dietary intake of citrus fruits is not advisable for individuals with GERD. Citrus fruits are acidic and can irritate the esophagus, leading to increased reflux symptoms. Clients with GERD should limit or avoid citrus fruits in their diet.

Choice D rationale:

Lying down for 30 minutes after eating a meal is not a recommended practice for individuals with GERD. Instead, clients with GERD should remain upright for at least 2-3 hours after eating to reduce the risk of reflux. Lying down shortly after a meal can worsen symptoms by allowing stomach acid to flow back into the esophagus more easily.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical records of four clients. The nurse should identify which of the following client findings that requires follow-up care.

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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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?