A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should reinforce to the staff members that the most significant routine infection control strategy, in addition to handwashing, is which of these?

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Question 1 of 5

A newly admitted adult client has a diagnosis of hepatitis A. The charge nurse should reinforce to the staff members that the most significant routine infection control strategy, in addition to handwashing, is which of these?

Correct Answer: C

Rationale: Wearing a gown to change soiled linens is significant for hepatitis A. Fecal-oral transmission requires barrier protection, per infection control. Signs , masks , and gloves support but gown use targets the primary route. C enhances safety.

Question 2 of 5

The nurse assesses several post partum women in the clinic. Which of the following women is at highest risk for puerperal infection?

Correct Answer: B

Rationale: A temperature of 101.2°F on day 2 suggests an acute infection, higher risk than prolonged low-grade fevers.

Question 3 of 5

A client is 2 days post operative. The vital signs are: BP - 120/70, HR -- 110 BPM, RR - 26, and Temperature - 100.4 degrees Fahrenheit (38 degrees Celsius). The client suddenly becomes profoundly short of breath, skin color is gray. Which assessment would have alerted the nurse first to the client's change in condition?

Correct Answer: B

Rationale: Tachypnea (RR 26) signals respiratory distress, an early sign of complications like pulmonary embolism.

Question 4 of 5

A nurse is caring for a client who is receiving methyldopa hydrochloride (Aldomet) intravenously. Which of the following assessment findings would indicate to the nurse that the client may be having an adverse reaction to the medication?

Correct Answer: B

Rationale: Mood changes (e.g., depression) are a known adverse effect of methyldopa, requiring monitoring.

Question 5 of 5

The nurse is caring for a client who is receiving procainamide (Pronestyl) intravenously. It is important for the nurse to monitor which of the following parameters?

Correct Answer: C

Rationale: Procainamide treats arrhythmias; continuous EKG monitoring detects efficacy or toxicity.

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