RECALLS 11 EXAM NP4

RECALLS 11 - NURSING PRACTICE IV 1) The nurse has instructed a client diagnosed with tuberculosis about how to prevent the spread of infection after discharge from the hospital. The nurse determines that the client needs further reinforcement of information if the client makes which statement? A. "I should use disposable plates, forks, and knives." B. "I should cough into tissues and throw them away carefully." C. "It's important to cover my mouth if I laugh, sneeze, or cough." D. "It's very important to wash my hands after I touch my mask, tissues, or body fluids." 2) A client is being discharged to home after 2 weeks with a diagnosis of tuberculosis and is worried about the possibility of infecting family members and others. How should the nurse respond to provide reassurance? A. The family does not need therapy, and the client will not be contagious after 1 month of medication therapy. B. The family does not need therapy, and the client will not be contagious after 6 consecutive weeks of medication therapy. C. The family will be treated prophylactically, and the client will not be contagious after 1 continuous week of medication therapy. D. The family will be treated prophylactically, and the client will not be contagious after 2 to 3 consecutive weeks of medication therapy. 3) A client with active tuberculosis demonstrates less-than-expected interest in learning about the prescribed medication therapy. The nurse assesses that this client may ultimately need which intervention as a last resort? A. Directly observed therapy B. More medication instructions C. Involvement of the family in teaching D. Reinforcement by the primary health care provider 4) Which action by the parent of an infant with respiratory syncytial virus infection who is receiving ribavirin would indicate a need for further instruction regarding the management of the disease process? A. Wearing protective garb when visiting the infant B. Washing the hands before leaving the infant's room C. Telling a family member who has asthma that he should not visit the infant D. Telling the infant's aunt, who is pregnant, that it is acceptable to visit the infant 5) A client is seen in the health care clinic, and a diagnosis of acute sinusitis is made. The nurse provides home care instructions to the client regarding measures that will promote sinus drainage and comfort. Which statement by the client indicates a need for further instruction? A. "I should drink large amounts of fluids." B. "I should use a hot mist vaporizer to liquefy secretions." = HUMIDIFIER C. "I should try to sleep with the head of the bed elevated." D. "I should apply heat, such as a wet pack, over the sinuses." 6) A client has been receiving a series of medications as part of intravenous antineoplastic therapy. The nurse should implement neutropenic precautions after noting which laboratory result for this client? A. Ammonia level of 20 mcg/dL (33.3 mcmol/L) B. Platelet count of 100,000 mm3 (100 × 109/L) C. International normalized ratio (INR) of 1.2 seconds D. White blood cell (WBC) count of 2000 mm3 (2 × 109/L) 7) An assistive personnel (AP) is caring for a client who has an indwelling urinary catheter. Which action by the AP would indicate the need for further instruction in the care of the client? A. Used soap and water to cleanse the perineal area B. Allowed the drainage tubing to rest under the leg C. Kept the drainage bag below the level of the bladder D. Used the drainage tubing port to obtain urine samples