The nurse instructs a client in infection prevention. Which of the following statements, if made by the client, indicates that the teaching was effective?

The organisms on my skin will not infect my leg wound

I should wash my hands before changing my wound dressing

The drainage from my wound can be rinsed down the kitchen sink

The dressings from my wound can be removed without wearing gloves

Answer and Explanation

The Correct Answer is B

Choice A reason: Stating that skin organisms cannot infect a leg wound is incorrect, as skin flora, like Staphylococcus, can contaminate wounds, especially if hygiene is poor. This misunderstanding indicates ineffective teaching, as proper infection prevention emphasizes reducing bacterial transfer to wounds.

Choice B reason: Washing hands before changing a wound dressing is correct, as it removes pathogens, preventing contamination of the sterile field. Hand hygiene disrupts the transmission of bacteria like MRSA, reflecting effective infection prevention teaching and adherence to aseptic technique.

Choice C reason: Rinsing wound drainage down the kitchen sink is incorrect, as it risks environmental contamination with pathogens. Proper disposal involves biohazard protocols to prevent bacterial spread, indicating this statement reflects a misunderstanding of infection control principles.

Choice D reason: Removing wound dressings without gloves is incorrect, as gloves prevent pathogen transmission from contaminated dressings to the caregiver or environment. This statement shows a lack of understanding of standard precautions, indicating ineffective infection prevention teaching.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Neutropenia, a low neutrophil count from chemotherapy, increases infection risk in leukemia patients. Restricting visitors with communicable illnesses minimizes exposure to pathogens, as neutrophils are critical for fighting infections. This action protects the immunocompromised patient, reducing the likelihood of hospital-acquired infections like pneumonia or sepsis.

Choice B reason: Replacing hand hygiene with gloves is inappropriate, as hand hygiene is essential to prevent infection transmission in neutropenic patients. Gloves complement, not replace, hand washing, which removes pathogens effectively. This choice fails to address the heightened infection risk in leukemia patients undergoing chemotherapy.

Choice C reason: Inserting an indwelling urinary catheter increases infection risk, particularly urinary tract infections, in neutropenic patients, who lack sufficient neutrophils to combat bacteria. Catheters breach natural barriers, making this action harmful rather than protective for a leukemia patient with compromised immunity post-chemotherapy.

Choice D reason: Restricting fluid intake is not indicated for neutropenic patients, as adequate hydration supports immune function and overall health. Dehydration can exacerbate complications in leukemia patients undergoing chemotherapy. This action does not address infection prevention, the primary concern in neutropenia management.

A. States that connecting with family is comforting B. Loss of appetite C. Loss of interest in pleasurable activities D. Has intense moments of sadness

Correct Answer is C

Explanation

Choice A reason: Finding comfort in family connections is typical of grief, not clinical depression. Grief involves sadness but often retains social engagement, whereas depression involves persistent isolation and anhedonia due to serotonin and dopamine dysregulation, making this choice incorrect.

Choice B reason: Loss of appetite occurs in both grief and clinical depression, as stress or serotonin imbalances affect appetite regulation. However, it is not specific to depression, as transient appetite loss is common in grief, making it less definitive than anhedonia.

Choice C reason: Loss of interest in pleasurable activities, or anhedonia, is a hallmark of clinical depression, reflecting disrupted dopamine reward pathways in the brain. Unlike grief’s temporary sadness, this persistent symptom impairs daily functioning, making it a key indicator of clinical depression.

Choice D reason: Intense moments of sadness are characteristic of grief, a normal response to loss, and do not necessarily indicate clinical depression. Depression involves persistent, pervasive symptoms, not episodic sadness, which is driven by situational triggers rather than chronic neurochemical imbalances.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse instructs a client in infection prevention. Which of the following statements, if made by the client, indicates that the teaching was effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with leukemia who is experiencing neutropenia as a result of chemotherapy. Which action should the nurse include in the plan of care for this patient?

Correct Answer is A

Explanation

A nurse is assessing a client who is experiencing grief. The nurse should identify which of the following findings as an indication that the client has developed clinical depression?

Correct Answer is C

Explanation

The nurse is teaching a patient about the different routes of transmission. Which patient statement indicates correct understanding of airborne transmission?

The nurse is conducting discharge teaching with a client who has been newly diagnosed with type 1 diabetes mellitus. Which statement from the client indicates the need for additional teaching?

A nurse is caring for a client who presents to an outpatient treatment center seeking help for gambling. After performing an intake assessment, the nurse should identify which of the following statements by the client as a sign of a gambling addiction?

The nurse is assessing an older adult client. Which finding should cause the nurse to suspect the client has Parkinson disease (PD)? (Select all that apply)

A newly diagnosed teenage girl with scoliosis asks the nurse what is Cobb’s angle? You know the nurse’s answer is correct when she says this:

What are the hallmark symptoms of scoliosis? (Select all that apply)

The nurse is evaluating a 45-year-old patient diagnosed with type 2 diabetes mellitus. Which symptom reported by the patient is considered one of the classic clinical manifestations of diabetes?

A client diagnosed with major depressive disorder asks, “What part of my brain controls my emotions?” Which nursing response is appropriate?