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) This statement demonstrates an understanding of infection prevention related to chickenpox. The contagious period for chickenpox is typically considered to end once the sores have crusted over, making it safe to visit a person who has had chickenpox after this time. This reflects appropriate awareness of infectious disease protocols.

B) This statement reflects a misunderstanding about antibiotic use, as antibiotics are ineffective against viral infections. Taking antibiotics when they are not needed can lead to antibiotic resistance and other complications, highlighting the importance of understanding when to use these medications.

C) Washing hands for only 10 seconds, even with hot water, is insufficient for effective hand hygiene. The Centers for Disease Control and Prevention (CDC) recommends washing hands for at least 20 seconds to effectively remove pathogens, especially after gardening, which can introduce soilborne pathogens.

D) Cleaning a cat's litter box during pregnancy poses a risk for toxoplasmosis, a parasitic infection that can have serious consequences for the fetus. Pregnant women are advised to avoid this task or take precautions if they must do it, demonstrating a lack of understanding of specific infection risks associated with pregnancy.

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Correct Answer is D

Explanation

D. "The estimated blood loss was 250 milliliters":
This is the most appropriate information to include in the hand-off report. The estimated blood loss (EBL) is a key piece of post-operative information that can help guide nursing care, including monitoring for signs of hypovolemia or shock, and assessing for the need for interventions like fluid resuscitation or blood transfusion. It's clinically relevant and helps the nurse on the medical-surgical unit understand the client's post-operative status and needs.

A. Preoccupied with aging B. Suspicious of others C. Exhibits separation anxiety D. Ritualistic behavior

Correct Answer is A

Explanation

A) Preoccupied with aging: Individuals with narcissistic personality disorder often have an intense focus on their appearance and status, which can lead to preoccupation with aging. They may fear losing their attractiveness and the admiration they receive, making this a common finding during assessment.

B) Suspicious of others: Suspiciousness is more characteristic of paranoid personality disorder. While individuals with narcissistic personality disorder may have difficulties in relationships, they are not typically driven by suspicion; rather, they may have an inflated sense of self-importance and entitlement.

C) Exhibits separation anxiety: Separation anxiety is generally not associated with narcissistic personality disorder. Clients with this disorder often exhibit self-sufficiency and may not show signs of dependency that would lead to separation anxiety.

D) Ritualistic behavior: Ritualistic behaviors are more indicative of obsessive-compulsive disorder or obsessive-compulsive personality disorder. Narcissistic personality disorder is focused on self-importance and seeking admiration rather than engaging in specific rituals or compulsions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit. Which of the following statements should the nurse include in the hand-off report?

Correct Answer is D

Explanation

A nurse is completing an admission assessment for a client who has narcissistic personality disorder. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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