During the prodromal stage of an infection, which is the priority nursing intervention?

Develop a plan for gradually increasing activity and mobility.

Begin discharge planning and teaching.

Implement precautions to prevent disease transmission.

Offer the client frequent fluids and ice chips.

Answer and Explanation

The Correct Answer is C

A. Developing a plan for increasing activity and mobility is important but is not the immediate priority during the prodromal stage of an infection.
B. Discharge planning and teaching are relevant for patient management but not the priority during the early stages of infection.
C. Implementing precautions to prevent disease transmission is crucial during the prodromal stage, as this is when the infection may be most contagious. Preventing the spread of infection is the top priority.
D. Offering fluids and ice chips helps with comfort and hydration but does not address the prevention of disease transmission.

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Correct Answer is C

Explanation

A. Adjusting the hand grips is necessary to ensure that the client can bear weight comfortably through the arms without placing stress on the wrists or shoulders, so avoiding this adjustment is incorrect.
B. Holding the crutch 6 inches to the side is a common guideline, but it is not as crucial as ensuring the correct fit of the crutches to avoid axillary nerve damage and ensure proper posture.
C. The crutch should fit 2 finger widths below the axilla to prevent pressure on the brachial plexus nerves, which can lead to nerve damage. This demonstrates an understanding of proper crutch fit and use.
D. Walking with the arms fully extended is incorrect; the arms should be slightly bent at the elbows to allow for proper weight distribution and movement.

A. Incorporate verbal analogies. B. Offer positive reinforcement. C. Provide physical demonstrations. D. Use simulation activities.

Correct Answer is D

Explanation

A. Verbal analogies can help in understanding concepts, but they may not fully engage young adults in active problem-solving.
B. Positive reinforcement is important for motivation, but it does not directly involve the clients in problem-solving strategies.
C. Physical demonstrations are effective for teaching skills, but they may not be the most engaging method for problem-solving.
D. Simulation activities are highly effective in engaging young adults in problem-solving strategies. These activities allow participants to actively apply their knowledge and think critically in a controlled environment, making them a valuable tool for teaching problem-solving.

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During the prodromal stage of an infection, which is the priority nursing intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is teaching a client about how to use crutches. Which action performed by the client demonstrates to the nurse a correct understanding of how to use the crutches?

Correct Answer is C

Explanation

The nurse plans to encourage a group of young adult clients to engage in problem-solving strategies. Which action is most useful for the nurse to include during the teaching session?

Correct Answer is D

Explanation

A client, who speaks very little English, is being seen in the emergency department following an automobile accident. The client's sibling offers to act as an interpreter and asks about the laboratory results. Which response is best for the nurse to provide?

A female client who is receiving hospice care in her home expresses fear that dying will be painful. Which action should the nurse take first?

While suctioning a client's nasopharynx, the nurse observes that the client's oxygen saturation remains at 94%, which is the same reading obtained prior to starting the procedure. Which action should the nurse take in response to this finding?

During the admission process, a client requests more information about advance directives. Which professional should the nurse recommend the client contact?

The nurse has removed a barbiturate capsule from the unit dose wrapper to administer to a client. The client decides to watch a television program and requests not to take the medication. Which action should the nurse implement?

The nurse is performing a routine dressing change for a client with a stage 3 pressure ulcer that is red with significant granulation. The wound has a gauze dressing covering the area. Which action should the nurse implement?

A client is requesting medicine for pain 30 minutes after receiving morphine sulfate 5 mg intravenously. Which intervention should the nurse implement next?

Exhibits The wound care nurse is preparing to change the client's dressing. For each technique item, click to indicate whether the technique is indicated or not indicated. Each row must have one option selected.