Correct Answers.
As of the nurse prepares to administer oral medication which nursing intervention is of "most
importance" to ensure patient's safety? - Answer perform assessment of the patient for risk of
aspiration
Rationale:
you want to make sure that they can swallow
A heavy equipment operator is given hearing protection equipment by his company, what type
of preventative care is the company providing? - Answer primary
A client with cancer and their family has decided that palliative care is the best treatment for
the client what would not be a goal for the client while on palliative care?
a. The client will receive pain medication as needed.
b. Will provide a support system for the client and their family.
c. The care provided intends to prolong the client's life.
d. Will enhance the quality of life for the client. - Answer c. The care provided intends to
prolong the client's life.
Which is the following would NOT affect a client's blood pressure?
a. Obesity
b. Drink a cup of coffee 6 hours ago
c. Smoking a cigarette 10 minutes before taking BP
d. Eating a high salt diet - Answer b. Drink a cup of coffee 6 hours ago
Rationale:
Time frame for caffeine is 3 hours when you'll see increased BP
, they just came out from surgery that could be sign that they're bleeding.
The nurse is assessing the patient and family for probable familial causes of the patient's
hypertension. The nurse begins by analyzing the patient's personal history, as well as family
history and current lifestyle situation. Which findings will the nurse consider to be risk factors?
(SATA) - Answer obesity
cigarette smoking
heavy alcohol intake
The nurse is collaborating with the dietician about a patient with a stage III pressure ulcer.
Which nutrient will the nurse expect to be increased after collaboration with the dietitian? -
Answer protein
A client is placed on airborne precautions for pulmonary tuberculosis. The nurse notes that the
client seems to be angry, but he knows that this is a normal response to isolation. Which is the
best intervention? - Answer explain the reasons for the isolation procedures and provide
meaningful stimulation
Which type of personal protective equipment should the nurse wear when caring for a pediatric
client who is placed on airborne precautions for confirmed chicken pox/herpes zoster ? (SATA) -
Answer disposable gown
N95 respirator mask
gloves
Antiembolism stockings are helpful in preventing thrombus formation in what way? - Answer
Antiembolism stockings provide well distributed pressure on the legs and prevent stasis of
venous blood.
What are S&S of a DVT (Deep vein thrombosis)? - Answer pain, redness, warmth usually in calf
region
A nurse is caring for a client who has a history of falls. Which action is the nurse's first priority? -
Answer complete a fall risk assessment.
Rationale:
for this class if assessment is in the answer,