Personal responsibility for health involves active participation in one's own health through education and lifestyle changes. Which exemplify personal responsibility? (Select allthat apply.)
- A. Reviewing one's own medical records
- B. Monitoring the positive and negative effects of prescription and over-th
- C. counter medications
- D. Avoiding tobacco and recreational drug use
Correct Answer: A
Rationale: The correct answer is A because reviewing one's own medical records allows individuals to understand their health history, track changes, and communicate effectively with healthcare providers. This exemplifies personal responsibility as it empowers individuals to take charge of their health by being informed and proactive.
Choice B is incorrect because monitoring medication effects is important but not directly related to personal responsibility for health through education and lifestyle changes. Choice D is incorrect as avoiding tobacco and drugs is a lifestyle choice, not an action that involves active participation in one's health through education.
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A nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse breaks in surgical aseptic technique?
- A. Balancing the bottle on the sterile basin while pouring the liquid
- B. Clarify the reason for the referral
- C. Identify family needs and interventions
- D. Provide discharge teaching
Correct Answer: A
Rationale: The correct answer is A because balancing the bottle on the sterile basin contaminates the sterile field. Sterile technique requires keeping all items above waist level, avoiding leaning over the sterile field, and maintaining a safe distance to prevent contamination. Choices B, C, and D are unrelated to sterile technique and do not involve direct contact with the sterile field. Clarifying the reason for referral, identifying family needs, and providing discharge teaching are important aspects of nursing care but do not pertain to maintaining a sterile field during wound irrigation and dressing change.
A nurse in the infectious disease division of the local health department is caring for a client. Which of the following infections should the nurse identify should be reported to the health department?
- A. Clostridium difficile
- B. Herpes simplex virus
- C. Chlamydia trachomatis
- D. Human papilloma virus
Correct Answer: C
Rationale: The correct answer is C: Chlamydia trachomatis. This infection should be reported to the health department because it is a sexually transmitted infection (STI) that can have public health implications. Reporting helps track and control the spread of the infection, ensure proper treatment for the affected individual, and prevent further transmission. The other choices (A, B, and D) are not typically reportable to the health department as they are not considered communicable diseases that pose a significant public health risk. Reporting these infections may not be necessary for public health surveillance or intervention purposes.
A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching?
- A. I should take antibiotics when I have a virus.
- B. I can visit my nephew who has chickenpox 5 days after the sores have crusted.
- C. I can clean my cat's litter box during my pregnancy.
- D. I should wash my hands for 10 seconds with hot water after working in the garden.
Correct Answer: B
Rationale: Correct Answer: B
Rationale:
1. Chickenpox is highly contagious until the sores crust over. Waiting 5 days ensures reduced risk of transmission.
2. Visiting a person with chickenpox before crusting over can lead to infection transmission.
3. By waiting 5 days after crusting, the client shows understanding of the importance of infection prevention.
Summary of Incorrect Choices:
A: Taking antibiotics for a virus is inappropriate as antibiotics are for bacterial infections.
C: Pregnant women should avoid cleaning cat litter boxes due to the risk of toxoplasmosis.
D: Handwashing should involve soap and water for at least 20 seconds, not just hot water.
The nurse is performing an environmental assessment in an apartment building where many people have reported burning eyes, skin rash, stuffy nose, and sore throat. Which type of hazard does the nurse anticipate is present in the apartment building?
- A. Radon
- B. Mice
- C. Mold
- D. Lead
Correct Answer: C
Rationale: The correct answer is C: Mold. Mold can cause symptoms like burning eyes, skin rash, stuffy nose, and sore throat. Mold thrives in damp environments, common in buildings. Radon (A) is a colorless, odorless gas found in soil and can cause lung cancer. Mice (B) can carry diseases but do not typically cause these symptoms. Lead (D) exposure can lead to neurological issues, not the symptoms described. The other choices are not relevant to the symptoms reported.
A nurse manager is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching?
- A. Administered 8 u regular insulin sq
- B. Check gastric residuals every 4 hours
- C. Compare the client's list of home medications to the admission prescriptions
- D. Measure the client's urine output every hour
Correct Answer: A
Rationale: The correct answer is A because it reflects proper documentation format, including the medication name, dose, route, and frequency. It demonstrates the nurse understands how to document medication administration accurately. Choice B is incorrect as it lacks specific details on the action to be taken. Choice C is incorrect as it does not imply any action related to medication safety. Choice D is incorrect as it does not specify the reason for measuring urine output.
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