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 B

Explanation

A) Ketorolac: Ketorolac is a potent nonsteroidal anti-inflammatory drug (NSAID) often used for severe pain. However, it can cause gastrointestinal irritation and bleeding, which poses a significant risk for a client with a history of peptic ulcers. Therefore, administering ketorolac would not be advisable in this situation.

B) Acetaminophen: Acetaminophen is an analgesic that does not have the gastrointestinal side effects associated with NSAIDs. It is a safer option for clients with a history of peptic ulcers, as it does not irritate the stomach lining and can effectively relieve headache pain without exacerbating ulcer-related complications.

C) Aspirin: Aspirin is another NSAID that can increase the risk of gastrointestinal bleeding, especially in individuals with a history of peptic ulcers. While it is effective for pain relief, its anticoagulant properties and irritation potential make it an unsuitable choice for this client.

D) Ibuprofen: Like other NSAIDs, ibuprofen can cause gastrointestinal issues, including irritation and bleeding. Given the client’s history of peptic ulcers, using ibuprofen could lead to exacerbation of the condition and should be avoided in favor of safer alternatives for pain management.

A. Enhanced mood B. Increased food intake C. Can perform ADLS independently D. Improved short-term memory

Correct Answer is D

Explanation

A. Enhanced mood: While a better mood can be beneficial for overall well-being, it is not a direct measure of donepezil's effectiveness, which primarily targets cognitive function.

B. Increased food intake: Improved appetite may occur, but it is not a primary indication of the effectiveness of donepezil, which focuses on cognitive enhancement.

C. Can perform ADLs independently: Although increased independence in activities of daily living (ADLs) is positive, it may not solely be attributed to donepezil, as various factors affect a person's ability to perform ADLs.

D. Improved short-term memory: This is the most direct indicator of donepezil's effectiveness, as the medication is designed to improve cognitive function, particularly in individuals with Alzheimer’s disease or other types of dementia. Enhanced short-term memory directly reflects the intended therapeutic effect of the medication.

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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 is caring for a client who reports a headache and has a history of a peptic ulcer. Which of the following medications should the nurse administer?

Correct Answer is B

Explanation

A nurse in a long-term care facility is providing care for a client who has been receiving donepezil. Which of the following findings indicates that the medication is effective?

Correct Answer is D

Explanation

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