Author Question: The nurse is taking care of a client in a healthcare facility. What is the single most effective ... (Read 23 times)

OSWALD · **on:** Jul 17, 2018

The nurse is taking care of a client in a healthcare facility. What is the single most effective nursing measure in preventing spread of disease?

A) Assessing the client's vital signs every 4 hours
B) Raising the client's temperature in the room
C) Washing hands before and after client contact
D) Wearing a mask with client contact

Question 2

A nurse is caring for a client with acute pain. Which nursing intervention requires an order from the physician?

A) Providing a heat application
B) Changing the client's position
C) Providing a back rub
D) Massaging the client's hands

carojassy25 · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

C
Feedback:
Washing hands is the single most effective nursing measure to prevent the spread of disease. Assessing vital signs every 4 hours is important, but is not the single most effective nursing measure to prevent the spread of disease. Wearing a mask is necessary only with airborne microorganisms when a client is on isolation. Raising the temperature in a client's room would encourage the growth of microorganisms.

Answer to Question 2

A
Feedback:
The nurse would require a physician's order to provide a heat application to the client. Changing the client's position, providing a back rub, or massaging the client's hands are comfort measures that the nurse could provide to the client without a physician's order.