Aaron is wearing anti-embolic stockings (TED hose) how should the nurse assess these areas wearing the TED hose?

Correct Answer: B

Rationale: Correct Answer: B - Assess after removing the hose. Rationale: The nurse should assess the skin after removing the TED hose to thoroughly examine for any signs of skin irritation, pressure injury, or discoloration. Assessing over the hose (A) may not provide a complete view of the skin condition. Rolling down the hose (C) or rolling up the hose (D) can cause friction and compromise the integrity of the skin, making it an incorrect method for assessment.

Correct Answer: A

Rationale: The correct answer is A: Isolate the client using transmission-based precautions. This is incorrect because bowel and bladder dysfunction does not typically require isolation measures unless there is a specific infectious disease present. B: Monitoring intake and output is important to assess kidney function and fluid balance in clients with bowel and bladder dysfunction. C: Providing hygienic care after episodes of incontinence helps prevent skin breakdown and infections. D: Using standard precautions when handling linen after episodes of incontinence is necessary to prevent the spread of infections to healthcare workers and other clients.

Correct Answer: D

Rationale: The correct answer is D: Administration of antibiotics to the client during labor. This is because giving antibiotics to the mother during labor can significantly reduce the risk of transmitting Group B streptococcus to the neonate during delivery. The antibiotics help to eradicate the bacteria in the birth canal, thus decreasing the chances of the baby becoming infected during birth. Not breastfeeding the neonate during the first week after birth (choice A) is not the correct intervention as breastfeeding is still recommended even if the mother is positive for Group B streptococcus. Administration of antibiotics to the neonate after birth (choice B) is not the first-line intervention as preventing transmission during labor is more effective than treating the neonate after birth. Delivery by cesarean section (choice C) is not the preferred intervention unless there are other obstetric indications for a cesarean section. Administering antibiotics to the client during labor (choice D) is the most appropriate intervention to prevent transmission of infection to the

Correct Answer: C

Rationale: The correct answer is C: Oral antibiotics to be continued at home. This is the most appropriate discharge order as the client with cellulitis may need to continue antibiotic therapy beyond the IV treatment to ensure complete resolution of the infection. Continuing oral antibiotics at home helps prevent recurrence and promotes full recovery. A: Low-sodium diet prescribed - While a healthy diet is important, it is not directly related to the treatment of cellulitis. B: Home healthcare aide for the client - This may be needed for some clients, but it is not the priority in this case. D: Orders for evaluation by physical therapy - Physical therapy is not typically indicated for cellulitis treatment, so this would not be the most relevant discharge order.

Correct Answer: C

Rationale: The correct answer is C because washing hands before instilling the medication helps prevent the spread of infection. Dropping medication onto the eyeball (A) can be harmful. Waiting 10 seconds between drops (B) is not necessary. Rubbing the eye with a cotton ball after administering the medication (D) can introduce bacteria.