A home care nurse finds a client who has just sustained partial-thickness burns to their face
and arms. After removing the client from danger and securing their airway, which of the
following interventions is the nurse's priority? -
Answer✅
Remove smoldering clothes.
Using the greatest risk priority-setting framework, this intervention has the highest priority.
In order to protect the client from further injury, smoldering clothes should be removed
first.
Quiz_________________?
A home health nurse is reinforcing teaching with a client who has human immunodeficiency
virus (HIV). Which or the following instructions should the nurse reinforce to maintain
infection control in the client's home? -
Answer✅
Wash dishes in hot soapy water.
The client should wash dishes in hot soapy water to minimize infectious agents and prevent
the spread of infection.
1
, Quiz_________________?
A nurse is admitting a client who has gastroenteritis. Which of the following laboratory
values indicates that the client is experiencing hypovolemia? -
Answer✅
BUN 32 mg/dL
Clients who have gastroenteritis experience vomiting and diarrhea, causing a loss of fluid
and electrolytes, which can lead to hypovolemia. The client's BUN level is above the
expected reference range of 10 to 20 mg/dL, which is an indication of hypovolemia.
Quiz_________________?
A nurse is assisting a client who is having a pelvic examination for the first time. The client
states, "I am really nervous." Which of the following statements should the nurse make? -
Answer✅
"I'll be in the room with you throughout the examination."
The nurse should tell the client that they will be with them during the examination and will
explain the steps of the procedure as they occur.
Quiz_________________?
A nurse is assisting with teaching a class of clients about health promotion and prevention.
Which of the following statements should the nurse make? -
Answer✅
"You should receive a tetanus booster every 10 years."
The nurse should instruct the clients to receive a tetanus booster every 10 years to reduce
the risk of tetanus.
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