The nurse is assessing a new patient admitted to home health. Which questions will be most appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.)

"Have you traveled outside of the United States?"

"Will you demonstrate how to wash your hands?"

"Can you explain the risk for infection in your home?"

"What are the signs and symptoms of infection?"

"Are you able to walk to the mailbox?"

"Who runs errands for you?"

Answer and Explanation

Correct Answer : A,B,C,D

A. Asking about travel outside the United States helps identify potential exposure to infections that are more prevalent in certain areas.
B. Assessing handwashing techniques is crucial, as proper hand hygiene is a fundamental way to prevent infections.
C. Understanding the patient's perception of infection risk in their home environment can highlight potential areas for intervention.
D. Knowing the signs and symptoms of infection allows the nurse to evaluate the patient’s awareness and ability to recognize early signs of infection.
E. While mobility can affect overall health, it is not directly related to assessing the risk of infection.
F. Knowing who runs errands may provide context for the patient's support system, but it does not directly assess infection risk.

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Correct Answer is B

Explanation

A. While anxiety may contribute to hyperventilation, in the context of a febrile child, the primary factor is usually metabolic.
B. Increased metabolic demands due to fever can elevate the body’s oxygen requirements, prompting hyperventilation as a compensatory mechanism.
C. Decreased drive to breathe would not lead to hyperventilation; rather, it might result in hypoventilation or respiratory distress.
D. Infection destroying lung tissues would typically lead to respiratory distress or failure, not directly cause hyperventilation without the context of increased metabolic needs.

A. An air vent to let bubbles into the blood B. One with a filter to ensure that clots do not enter the patient C. An injection port to mix additional electrolytes into the blood D. Two-way valves to allow the patient's blood to mix and warm the blood transfusing

Correct Answer is B

Explanation

A. An air vent allowing bubbles into the blood would be unsafe and can cause air embolism, so this option is incorrect.
B. Using tubing with a filter is standard practice for blood transfusions to prevent clots and debris from entering the patient’s bloodstream, making this the correct choice.
C. Mixing additional electrolytes into the blood is not a standard practice during transfusions, as it can cause complications; thus, this option is not appropriate.
D. Two-way valves are not typically used in blood transfusion setups; the goal is to keep the blood product separate from other fluids unless specifically indicated.

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The nurse is assessing a new patient admitted to home health. Which questions will be most appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 5-year-old patient whose temperature is 101.2° F. The nurse expects this patient to hyperventilate. Which factor does the nurse remember when planning care for this type of hyperventilation?

Correct Answer is B

Explanation

A nurse preparing to start a blood transfusion will use which type of tubing?

Correct Answer is B

Explanation

The nurse is assessing a new patient admitted to home health. Which questions will be most appropriate for the nurse to ask to determine the risk of infection? (Select all that apply.)

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