The nurse is teaching a family about prevention of infection in the home. The nurse should advise the family that one of the best methods of preventing infection is:
1. frequent handwashing.
2. airing out the house in the spring.
3. scrubbing the floors daily.
4. using antimicrobial cleaning solutions when cleaning.
Question 2The nurse should encourage a client experiencing inflammation to eat a diet high in carbohydrates, protein, and vitamins because:
1. protein supports catabolism.
2. vitamin K helps the blood stay thinner.
3. carbohydrates are necessary to support extra energy needs.
4. carbohydrates help anabolic activity.
Question 3A client with arthritis has an ESR of 23 mm/hour with a very tight swollen right knee. The physician prescribes corticosteroids to reduce the swelling. The nurses should teach the client to:
1. take the medication with plenty of water.
2. take the medication for as long as the knee is swollen.
3. take the medication when the knee is painful.
4. never abruptly stop steroid medications.
Question 4The physician has ordered an erythrocyte sedimentation rate (ESR, or sed rate) on a client who might have an inflammatory process. The nurse should expect the client with a systemic inflammation to have results:
1. less than 5 mm/hour.
2. at 10 mm/hour.
3. over 20 mm/hour.
4. at 20 mm/hour.
Question 5The nurse is preparing to assess a client with tissue damage to the right arm who is also experiencing immunosuppression. After assessing the local reaction, the nurse assesses for a systemic reaction and should expect:
1. the respirations to be slowed.
2. the temperature to be significantly elevated.
3. the heart rate to be slower than normal.
4. a normal temperature.
Question 6The nurse is assessing a client with inflammation of the right knee. In order to determine whether the inflammation has becomes systemic, the nurse should assess:
1. the eyes for jaundice.
2. the lymph nodes in the groin.
3. the client's level of pain.
4. swelling in the arms.
Question 7During an admission assessment the nurse learns that an older client experiences leg soreness. What should this information indicate to the nurse? (Select all that apply.)
1. All older clients have body soreness.
2. The client needs to be assessed for pain.
3. The client could be denying the presence of pain.
4. Body soreness is an expected assessment finding with an older client.
5. Additional information is needed about the use of over-the-counter medications.
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