EAQ Infection
A client with active genital herpes has a cesarean birth. The nurse teaches the mother how to limit transmission of the virus to her newborn. The nurse concludes that the instructions have been understood when the mother makes which statement?
"I have to wash my hands with soap and water before handling the baby."
A client who has repeated episodes of cystitis is scheduled for a cystoscopy to determine the possibility of urinary tract abnormalities. The client asks the nurse to describe the procedure. What is the nurse's most appropriate response?
"This procedure is the visualization of the inside of the bladder with an instrument connected to a source of light."
Which antimicrobial drugs are safe during breast-feeding? Select all that apply.
*Penicillins *Macrolides *Cephalosporins
A client with human immunodeficiency virus (HIV) infection reports fatigue, fever, and night sweats. Which stage of HIV infection does the nurse suspect?
Early HIV Infection
A client who has been diagnosed with Lyme disease is started on doxycycline as part of the therapy. What should the nurse do when administering this drug?
Give the medication an hour before milk products are ingested.
A 13-month-old toddler has a respiratory tract infection with a low-grade fever. When teaching the parents, which intervention should the nurse emphasize?
Giving small amounts of clear liquids frequently to prevent dehydration
A client at term is admitted in active labor. She has tested positive for human immunodeficiency virus (HIV). Which intervention in the standard prescriptions should the nurse question?
Internal fetal scalp electrode
A nurse is teaching the parents of an infant with a cleft lip and palate how to prevent infection. What information should the nurse include about why the infant is predisposed to infection?
Mouth breathing dries the oropharyngeal mucous membranes.
A client has been admitted with a urinary tract infection. The nurse receives a urine culture and sensitivity report that reveals the client has Vancomycin Resistant Enterococcus (VRE). After notifying the physician, which action should the nurse take to decrease the risk of transmission to others?
Move the client to a private room.
A nurse is caring for a 13-year-old child who has an external fixation device on a leg. What is the nurse's priority goal when providing pin care?
Preventing Infection
A nurse in the pediatric clinic is teaching a mother how to care for her infant who has eczema. What is most important for the nurse to teach the mother?
Preventing secondary infections
A client arrives at the clinic with swollen, tender breasts and flulike symptoms. A diagnosis of mastitis is made. What does the nurse plan to do?
Teach her to empty her breasts frequently
A nurse is preparing a teaching plan for a client with syphilis. The nurse includes that syphilis is not considered contagious in which stage?
Tertiary stage
The nurse creates a plan of care for a client with a risk of infection. Which is the most desirable expected outcome for the client?
The client will be free of signs and symptoms of infection by discharge.
The nurse should ask the client with secondary syphilis about sexual contacts during which timeframe?
The past 6 months
A client with burns develops a wound infection. The nurse should inform the client that local wound infections primarily are treated with what type of antibiotics?
Topical
A client with small-cell lung cancer is receiving chemotherapy. A complete blood count is prescribed before each round of chemotherapy. Which component of the complete blood count is of greatest concern to the nurse?
White blood cells (WBCs)
A client who recently returned from another country exhibits signs and symptoms suspicious of severe acute respiratory syndrome (SARS). Which clinical manifestations support this diagnosis? Select all that apply.
*Dry cough *Shortness of breath *Fever greater than 100.4 F
A client at 16 weeks gestation calls the nurse at the prenatal clinic and states that her partner just told her that he has genital herpes. What should the nurse include when advising the client regarding sexual activity?
Sexual abstinence should be practiced during the last 6 weeks of pregnancy.
A client with vesiculopustular lesions with honey-colored crusts on the face visits a primary healthcare provider. Which bacterial condition is suspected?
Impetigo
A nurse is caring for four clients. Which client is at a risk of meningitis, hearing loss, and generalized paresis?
Client A
The nurse is making rounds on a client who has developed severe bone marrow depression after receiving chemotherapy for cancer. Which of these actions by the nurse is appropriate? Select all that apply.
*Wash hands before entering the client's room. *Advise use of a soft toothbrush for oral hygiene *Report an elevation in temperature immediately.
A client in labor at 39 weeks' gestation is told by the health care provider that she will need a cesarean birth. The nurse reviews the client's prenatal history. What preexisting condition is the most likely reason for the cesarean birth?
Active genital herpes
A client is admitted to the hospital with pancytopenia as a result of chemotherapy. What should the nurse plan to teach this client in an effort to minimize the risk of complications as a result of pancytopenia?
Avoid traumatic injuries and exposure to infection.
A client in a nursing home is diagnosed with urethritis. What should the nurse plan to do before initiating antibiotic therapy prescribed by the health care provider?
Obtain a urine specimen for culture and sensitivity.
