Exam (elaborations) NURS10111

An infection control nurse has identified a problem related to infection control procedures on a medical unit that has a high census of clients diagnosed with tuberculosis. The nurse has decided to conduct an in-service education program for the staff about the required transmission-based precautions. The nurse determines that the program was successful based on which statement by the staff? A nurse completes an afternoon assessment of a client who is a nurse and who is visiting the area on vacation. The client states that the nurse must be having a busy shift and asks about the maximum number of clients that the nurse is allowed to care for. What is the nurse's best response? A client just delivered a healthy baby. The mother wants to put photos on her Facebook page with all the nurses that helped during the birthing process. What is the nurse’s response to the client? A nurse who is working with a nursing assistant is making care assignments for the shift. Which task would be most appropriate for the nurse to delegate to the nursing assistant? Select all that apply. A nurse is conducting an educational program about advanced directives for a group of adults at a local community center. The nurse explains what the directives entail and how they are used. After explaining this topic, the nurse determines that the teaching was successful based on which statement by the group? A nurse is working on a unit that is short staffed for the shift and is delegating client care to a licensed practical nurse. Which activity would be appropriate for the nurse to delegate? Select all that apply. The client becomes upset when the nurse asks if the client has an advance directive and states, “Why do I need an advance directive?” What is the most appropriate explanation for the nurse to give this client about an advance directive? You Selected: The client who is four days' post-kidney transplantation tells the nurse, “I feel upset about the person who died to give me this kidney.” Which goal will the nurse consider to be of primaryimportance? The parent of a client who is disabled due to a traumatic amputation states to the nurse, “I am concerned that situations will occur and that I may not know what to do to help my son when we are at home.” Which response by the nurse is the most appropriate to address the parent’s concern? The nurse has taught the wife of a client who experienced traumatic vision loss strategies for effectively interacting with her spouse. Which statement by the wife indicates that the health teaching was successful? The client expressed to the nurse that she feels guilt and shame for contracting HIV/AIDS from her ex-boyfriend eight years ago, and although she is feeling well, she cannot develop healthy relationships. What priority action will the nurse implement during the client assessment? After being informed that a client is to be admitted to the hospital for stabilization of the client's diabetes, the client's son returns to the hospital six hours later to find that the client remains on a stretcher in the emergency department hallway. He begins to shout “I will not allow my insurance to pay for your failure to provide care.” What is the best action for the nurse to take in this situation? A client is admitted for serious complications of poorly managed diabetes. The nurse learns that this client is an undocumented illegal immigrant whose sole income is sporadic day labor. What is the most important action this nurse should take? A teenage client is to be admitted for a fractured shoulder after being impaled on a fence running away from local police. The nurse learns that the teen lives on the street with surrogate parents. Once the client is assessed and treated, which would be the most appropriate action? A client is being assessed for multiple lacerations resulting from an assault by an unknown paid sexual partner. The nurse must recognize what as a priority for this client? An HIV-positive client who has been treated with antiretroviral therapy for two decades presents at the emergency department with symptoms typically associated with myocardial infarction. The nurse assessing this client should immediately recognize which factor associated with chronic HIV? A child is brought into the emergency department with a severe asthmatic episode by the grandparents who are caring for the child over the weekend while the parents are away. What is the first priority of the nurse treating this child? Select all that apply. A client is undergoing chemotherapy without responding to three different rounds of agents. The client proposes testing for specific serum metal levels based on a review of the history of symptoms and Internet research. The nurse recognizes that the client is demonstrating: Question 50 A client with long-term body-focused repetitive behaviors including trichotillomania (hair pulling) finds support through an online website. The client begins to attend local meetings and realizes that a nurse from the clinic also attends. When approached outside of these meetings, how should the nurse respond?