The nurse is educating a client on the prevention of toxic shock syndrome (TSS). Which statement by the client indicates a lack of understanding?

"At night, I should use a feminine pad rather than a tampon."

"If I don't use tampons, I will reduce my risk for TSS."

"I need to change my tampon every 10 hours during the day."

"It is best if I wash my hands before inserting the tampon."

Answer and Explanation

The Correct Answer is C

A. Using a feminine pad at night instead of a tampon can reduce the risk of TSS, which is correct.

B. Not using tampons reduces the risk of TSS. This statement is correct.

C. Tampons should be changed every 4 to 8 hours, not 10 hours, to reduce the risk of TSS. This statement indicates a lack of understanding.

D. Hand hygiene before inserting a tampon is critical for preventing TSS. This statement is correct.

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Correct Answer is B

Explanation

A. Administering oxygen is unnecessary at this time, as the client’s oxygen saturation is normal at 96%.

B. The client has had a myocardial infarction, which can lead to complications such as orthostatic hypotension or cardiovascular strain with sudden position changes. A bedside commode minimizes the need for the client to get out of bed and reduces the risk of these complications.

C. Suggesting the use of a bedpan may be an alternative but is less comfortable and may not adequately address the risk of strain from getting out of bed.

D. Allowing continued bathroom privileges may be unsafe, as it may increase the risk of a fall or cardiovascular strain.

A. Allow the client to suck on small quantities of ice chips. B. Apply oxygen and continuous pulse oximetry. C. Have the respiratory therapist provide humidified room air. D. Request an antitussive medication from the physician.

Correct Answer is B

Explanation

A. Sucking on small quantities of ice chips is not appropriate in this case as it may worsen the airway obstruction or cause further irritation.

B. Applying oxygen and continuously monitoring the client's pulse oximetry will help ensure that the client's oxygen saturation remains adequate and that they do not experience respiratory distress or hypoxemia due to inhalation injury. Early intervention is crucial to prevent worsening of respiratory status.

C. Humidified room air can help in cases of airway irritation, but the priority is to ensure oxygenation and avoid hypoxia.

D. Antitussive medications may be indicated later, but airway management and oxygenation take precedence.

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The nurse is educating a client on the prevention of toxic shock syndrome (TSS). Which statement by the client indicates a lack of understanding?

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