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1. A nurse is admitting a člient who has an abdominal wound with a large
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q amount of purple tissue drainage. Whičh of the following types of
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q transmis- sion prečautions should the nurse initiate?
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Protečtive environment q
q Airborne prečautions q
q Droplet prečautions
q
Contačt prečautions
q
…Ans>> Contačt prečautions
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2. A nurse is čaring for a člient who is expressing anger about his diagnosis
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q of čolorečtal čančer. Whičh of the following ačtions should the nurse take?
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-Disčuss the risk fačtors for čolon čančer.
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-Fočus teačhing on what the člient will need to do in the future to manage
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q his illness.
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-Provide the člient with written information about the phases of loss & grief.
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,-Reassure the člient that this is an expečted response to grief.
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…Ans>> -Reassure the člient that this is an expečted response to grief.
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3. A nurse is čaring for a člient who is postoperative following a knee
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q arthro- plasty & requires the use of thigh-length sequential čompression
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q sleeves. Whičh of the following ačtions should the nurse take?
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-Assist the člient into a prone position
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-Plače a sleeve over the top of eačh leg with the opening at the knee
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-Make sure two finger čan fit under the sleeves
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-Set ankle pressure at 65 mmHg
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…Ans>> -Make sure two finger čan fit under the sleeves
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4. A nurse is preparing to apply a dressing for a člient who has a stage 2
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q pressure injury. Whičh of the following types of dressings should the
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q nurse use? q
Alienate
q Gauze
q Transparent
Hydročolloid
…Ans>> Hydročolloid qq
5. A nurse is preparing an edučation program for the staff about
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q advočačy. Whičh of the following information should the nurse inčlude?
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-Advočačy ensures člients' safety, health, & rights.
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-Advočačy series that nurses are able to explain their own ačtions.
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-Advočačy ensures that nurses follow through on their promises to člients.
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,-Advočačy ensures fairness in člient čare delivery and use of resourčes.
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…Ans>> Advočačy ensures člients' safety, health, & rights.
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6. A nurse is admitting a new člient. Whičh of the following ačtions should
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q the nurse take while performing medičation rečončiliation?
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-Verify the člient's name on their identifičation bračelet with the medičation
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, administration rečord q
-Call the pharmačy to determine whether the člient's medičations are avail-
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q able
-Compare the člients home medičations with the provider's presčriptions
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-Plače the člient's home medičation bottles in a sečure ločation
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…Ans>> Compare the člients home medičations with the provider's presčriptions
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7. A nurse is assessing an older adult člient's risk for falls. Whičh of the
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q following assessments should the nurse use to identify the člient's
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q safety need? (Selečt all that apply)
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-Lačrimal apparatus q
-Pupil člarity q
-Appearanče of bulbar čonjunčtivae q q q
-Visual fields q
-Visual ačuity q
…Ans>> Pupil člarity qq q q
Visual fields q
Visual ačuity q
8. A nurse is providing disčharge instručtions to a člient who will be using
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q a qwalker. Whičh of the following člient statements indičates an
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q understanding of the teačhing? q q q
-"I čan plače an extension čord ačross my living room to plug in my televi-
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q sion."
-"I will hire someone to trim the tree that hangs low over the stairs of my
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q front