| NCLEX-RN® Remediation & Comprehensive
Review|| ALREADY GRADED A+
Immunizations: Recommended vaccinations for older adult clients (943) -
ANSWERS-Adults age 50 or older:
-Pneumococcal Vaccine (PPSV)
- Influenza vaccine
- Herpes Zoster Vaccine
-Hepatitis A
- Hepatitis B
- Meningococcal Vaccine
Pulmonary Embolism: Risk factors for DVT (258) - ANSWERS--Long term
immobility
- Oral contraceptives
- Pregnancy
- Tobacco use
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
- Autoimmune hemolytic anemia (sickle cell)
-Long bone fractures
-Advanced age
,Disorders of the male reproductive system: Complications of continuous
irrigation following Trans-urethral Resection (743) - ANSWERS--Urethral
trauma
-Urinary retention
- Bleeding
- Infection
Stroke: Caring for a client who has left sided hemiplegia (155) - ANSWERS--
Observe extremities for injury
- Apply an arm sling if client is unable to care for the affected extremity
- Ensure foot rest is on wheel chair and ankle brace is on the affected foot
- Instruct client to dress the affected side first
Seizures and Epilepsy: Seizure precautions (62) - ANSWERS-During a seizure:
Position client on the floor and provide a patent airway, turn client to side
and loosen restrictive clothing
Cancer treatment options: Protective Isolation (999) - ANSWERS-If WBC
drops below 1,000, place the client in a private room and initiate neutropenic
precautions.
- Have client remain in his room unless be needs to leave for a diagnostic
procedure, in case of transport place a mask on him
- Protect from possible sources of infection (plants, change water in
equipment daily)
- Have client, staff and visitors perform frequent hand hygiene, restrict ill
visitors
- Avoid invasive procedures (rectal temps, injections)
- Administer (neupogen, neulasta) to stimulate WBC production
, Infection control: Appropriate room assignment - ANSWERS-Standard
Precautions:
1. applies to all patients
2. Hand washing
a. alcohol based preferred unless hands visually soiled
3. Gloves - when touching anything that has the potential to contaminate.
4. Masks, eye protection & face shields when care may cause splashing or
spraying of body fluids
Droplet:
1. private room or with someone with same illness
2. masks
Airborne:
1. private room
2. masks or respiratory protection devices
a. use an N95 respirator for tuberculosis
3. Negative pressure airflow
4. full face protection if splashing or spraying is possible
Contact:
1. private room or room with same illness
2. gloves & gowns
3. disposal of infections dressing materials into a single, nonporous bag
without touching the outside of the bag
TB: Priority action for a client in the emergency department (249) -
ANSWERS--Wear an N95 or HEPA respirator