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A nurse is planning to administer medication to a client who has a
Clostridium difficile infection. Which of the following actions
should the nurse plan to take to prevent the transmission of this
infection to others?
,Clean hands with an alcohol-based hand rub immediately after
removing gloves.
Remove the cover gown in the client's room after providing care.
Place the client in a room with negative-pressure airflow
Wear a mask when administering oral medications to the client. -
Answer: Remove the cover gown in the client's room after
providing care.
A nurse is caring for a client who has a prescription for a high-
protein diet to
promote wound healing following surgery. The client's religion
prohibits eating
meat on particular days. Which of the following actions should the
nurse take?
a. encourage the client to eat meat during this time to promote
healing
b. advise the client to eat everything on the tray except the meat
c. suggest the client receive high-protein enteral feedings
d. ask the dietitian to recommend alternative food choices for the
client - Answer: ask the dietitian to recommend alternative food
choices for the client
,A nurse is caring for a client who has prescription for a high-
protein diet to promote wound healing following surgery. The
client's religion prohibits eating meat on particular days. Which of
the following actions should the nurse take?
Encourage the client to eat meat during this time to promote
healing
Advise the client to eat everything on the tray except the meat
Suggest the client receive high-protein enteral feedings
Ask the dietitian to recommend alternative food choices for the
clie - Answer: Ask the dietitian to recommend alternative food
choices for the client
A nurse is collecting data from a client who is 2 days
postoperative following a
colostomy. Which of the following findings should the nurse
report to the
provider?
a purple-colored stoma
protrusion of the stoma
a small amount of bleeding from the stoma
, intestinal gas in the pouch - Answer: a purple-colored stoma
A nurse is reinforcing teaching with a client about self-
administration of
ophthalmic drops. Which of the following instructions should the
nurse include?
"You will need to look to the side when you put the drops in your
eye."
"You should put the drops directly in the center of your eyeball."
"You should cleanse your eye from the inner to the outer edge
prior to putting in
the drops."
"You should avoid pressing on your tear duct after putting the
drops in your eye." - Answer: "You should cleanse your eye from
the inner to the outer edge prior to putting in
the drops."
A nurse is reinforcing teaching about carbohydrate counting with
a client who has
a new diagnosis of diabetes mellitus. Which of the following
actions should the