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. The excitement of family does not indicate an infection risk. Emotional support can aid recovery.

B. Handling cat litter, which can contain bacteria, is a potential source of infection. Given the client's sternal wound, exposure to such bacteria increases the risk of infection, including sepsis.

C. Attending a party may present social interaction risks, but it is not as directly related to infection risk as handling cat litter.

D. Having the water turned on does not pose a significant risk for infection or sepsis.

A. "In hot weather, I sweat so much that I drink six glasses of water each day." B. "I take sodium bicarbonate after every meal to prevent heartburn." C. "I don't drink milk because it gives me gas and diarrhea." D. "I have been taking digoxin every day for the last 15 years."

Correct Answer is B

Explanation

A. Drinking water in hot weather is important to prevent dehydration. This is not a risk factor for metabolic alkalosis unless the client is excessively losing electrolytes through sweating and not replacing them.

B. Sodium bicarbonate is an alkaline substance, and regular use, especially after meals, can contribute to metabolic alkalosis. The client should be instructed on the potential risks of using sodium bicarbonate too frequently.

C. Avoiding milk due to gastrointestinal symptoms does not directly contribute to metabolic alkalosis.

D. Digoxin does not directly affect acid-base balance, but it requires monitoring due to potential interactions with other medications or electrolyte imbalances.

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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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