RN Concept Based Assessment Level 1 (questions and answers) 2022

A nurse is administering a client who has a pulmonary tuberculosis. which of the following transmission-based precautions should the nurse initiate? - ANSWER-airborne restraints - ANSWER-an adult client may be in a mechanical restraint for up to 4 hours. 9-17 years limited to 2 hours 9 limited to 1 year establish regular sleep and wake times through - ANSWER-exercise in the morning after arising avoid exercising within 2 hours of bedtime when removing a tied surgical mask - ANSWER-securely hold the ties and move it away from the face a nurse is caring for an adolescent who is in critical condition. the client's parent shouts at the nurse asking why her son is dying and not the driver. which the following actions should the nurse take to provide emotional support to the parent? - ANSWER-inform the parent that anger is a natural response when dealing with loss a nurse on a med-surg unit is caring for a group of clients. which of the clients should the nurse monitor for the development of reflex urinary incontinence? - ANSWER-a client who has a T-12 spinal cord injury unaware the bladder is full and therefore lacks the urge to void resulting in involuntary loss of urine assistive personnel asks to enter the morning blood glucose for the client. the nurse is already logged into the computer, what action should the nurse take? - ANSWERrequest the AP use another computer to enter the data toddler w/ phenylketonuria should eat - ANSWER-baked potato foods low in protein fire extinguisher - ANSWER-sweep side to side to expel fire evenly pull the pin on the top of the extinguisher aim the fire at the base of the fire squeeze the handles of the extinguisher together