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QUESTIONS AND ANSWERS S S
1. a nursing is caring for a client who has pharynegeal diphtheria.Which of thefollowing t
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ypes of transmission precautions should the nurse initiate?
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Contact D S
roplet Air S
borne
Protective
: droplet
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Droplet precautions are a requirement for clients who have infections that spread via droplet n
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uclei that are larger than 5 microns in diameter, including rubella, meningococcal pneumonia,
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and streptococcal pharyngitis. The nurse should weara mask when providing care or when wit
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hin 1 m (3 feet) of the client who has a disorder requiring droplet precautions.
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2. nurse is talking with an older adult client who is contemplating retirement.The client
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states, "I keep thinking about how much I enjoy my job. I'm not sureI want to retire." Whic
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h of the following responses should the nurse make?
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, "You would have so much more time to spend with your family."
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"You should consider getting a part-
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time job or doing volunteer work.""Let's talk about how the change in your job st
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atus will affect you."
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"Why wouldn't you want to retire and relax?"
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: Let's talk about how the changein your hob status will affect you.
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This response is therapeutic because the nurse is encouraging the client to verbalizefeelings about
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S the life transition of retirement.
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3. Nurse caring for client who has herpes zoster. Client asks about comple-
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S mentary and alternative therapies for pain control. Nurse should inform clientthat this c
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ondition is a contraindication for which of the following therapies?
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BiofeedbackAl S
oe Feverfew
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Acupuncture
: acupuncture
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The nurse should inform the client that herpes zoster, or any skin infection, is a contraindic
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,ation for the use of acupuncture. An open portal on the skin's surfacecould increase the risk
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of further infection.
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4. Nurse is assessing an older adult for risk for falls. Which of the followingassessmen
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ts should the nurse use to identify the client's safety needs?
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, (select all that apply) S S S
Lacrimal apparatusP S S
upil clarity S
Appearance of bulbar conjunctivaeVisua S S S S
l fields S
Visual acuity S
: pupil clarityvisual fields
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visual acuity S
5. Nurse caring for postop client following knee arthroplasty and requiresthigh high
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S compression sleeves. What should the nurse do? S S S S S S
Assist the client into a prone position.
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Place a sleeve over the top of each leg with the opening at the knee.Make sure two
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fingers can fit under the sleeves. S S S S S
Set the ankle pressure at 65 mm Hg.
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: Make sure two fingers can fit under the sleeve.
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6. A nurse is reviewing a evidence based practice principles about adminis-
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S tration of oxygen therapy with a newly licensed nurse .Which of the followingactions sho
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uld the nurse include ?
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