Practice 2023 AID 100% SOLUTIONS
Client reports fever, fatigue, lack of appetite, and headache that
started 2 days ago. Today, client woke up with blister-like rash all
over their face, chest, and back. Client states, "It is beginning to
itch and spread." Lung sounds clear to auscultation. S1, S2, heard no
murmur detected. Bowel sounds normoactive in all quadrants. Notified
provider of findings.
When generating solutions, the nurse should anticipate the client has varicella
(chicken pox); therefore, the nurse should place the client in a negative-pressure
airflow room, wear an N95 mask when caring for the client, designate a
stethoscope to be used only on the client, and request a prescription for an
antipyretic. Varicella is transmitted by the air; therefore, airborne isolation
precautions need to be taken while caring for this client.
A nurse is giving a presentation about family violence at a local
community center. Which of the following information should the nurse
include?
Child maltreatment is more common in homes where partner violence is
present.
Child maltreatment is very common in homes where partner violence is
present.
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A school nurse is conducting hearing screening procedures in an
elementary school. Which of the following instructions should the
nurse provide when performing the Rinne test?
"After I place this tuning fork behind your ear, tell me when you no
longer hear the sound."
, This is the appropriate instruction for a Rinne test, a hearing
evaluation that compares air conduction and bone conduction of sound.
A nurse on the scene following a mass casualty explosion is triaging
a client who has a large, open occipital wound and the following
findings: respiratory rate 6/min, agonal pattern; capillary refill
time 4.5 seconds; nonresponsive to painful stimuli. Which of the
following actions should the nurse take?
Turn the client to left semi-Fowler's position and begin assessing
the next client.
Principles of triage indicate that clients who have extensive
injuries and a low probability of survival do not receive treatment.
Therefore, the nurse should provide only comfort measures before
moving on to assess the next client.
A public health agency has assigned a newly licensed nurse to assist
with the task force that is responsible for the core function of
assessment. Which of the following is a task that the public health
agency could assign to the nurse that would be consistent with the
focus of the task force?
Investigating local health hazards
Investigating health hazards of the local community is a component of
the public health core function of assessment.
A school nurse is discussing levels of prevention with a teacher.
Which of the following activities should the nurse identify as a
primary prevention strategy?
Demonstrate proper handwashing techniques.
This is an example of primary prevention, the goal of which is to
promote health and prevent diseases from developing.
A community health nurse is working to meet the health care needs of
residents in a rural community. Which of the following
characteristics should the nurse identify as a barrier to health care
resources for this population?
Unavailability of outreach services
Lack of availability of outreach services is a barrier to health care
for residents in rural areas.
A nurse is preparing an educational program about influenza for a
group of community health nurses. Which of the following activities
should the nurse include as an example of tertiary prevention?
Administer antiviral medications within 48 hr to clients who have
manifestations of influenza.