CASAL 1 Remediation questions and answers latest top score.

CASAL 1 Remediation questions and answers latest top score. The nurse is preparing discharge instructions for a client who has been prescribed medications to suppress their T-cells activity due to "graft-versus-host- disease" status post bone marrow transplant. Which instructions should be included in the discharge instructions to prevent infection? A. Avoid crowds and other gatherings with large groups. B. Eat a least five servings of fresh fruit and vegetables a day. C. Take your temperature twice a day and report 100°F (38°C). D. Do not drink water that has been standing longer than 15 minutes. E. Bathe or shower every other day using antimicrobial soap and shampoo. - correct answers.A, C, D Rationale: In order to prevent infection due to the immunosuppressive medications, the client should be instructed to avoid crowds or other gatherings with large groups; do not share personal toiletry articles; bathe daily and wash armpits, groin, genitals and anal area at least twice a day with antimicrobial soap and wash hands with the soap after eating/drinking; touching a pet; shaking hands or using the restroom. They should not drink any water that has been standing longer than 15 minutes; do not reuse glasses or cups that have not been washed first; avoid eating fresh fruit and vegetables and/or undercooked meat; avoid keeping turtles and reptiles as pets; take their temperature twice a day and report any temperatures 100°F (38°C) and avoid digging in the garden or working with houseplants. According to Bandura's Social Cognitive Theory, which are extrinsic factors that can motivate a client's behaviors? A. Curiosity B. Rewards C. Challenge D. Punishment E. Reinforcement - correct answers.B & D Rationale: According to Bandura's Social Cognitive Theory, extrinsic factors for motivating one's behavior are tradition, rewards, reinforcement, and punishment. The Declaration of Alma-Ata and the Global Strategy on Diet, Physical Activity, and Health are reviewed at a community health nursing meeting to incorporate global health goals in the community. Which healthcare organization is responsible for these landmark documents? - correct answers.World Health Organization Rationale: The Declaration of Alma-Ata defines the goals and objectives for unequivocal healthcare for all and the Global Strategy on Diet, Physical Activity, and Health outlines global strategies to decrease two health risks responsible for more than half of all global mortality. The World Health Organization is responsible for both landmark documents. A nurse riding public transportation notices a child experiencing an asthma attack. The mother of the child pulls out of her purse a medicated discus dispenser of salmeterol xinafoate, a long-acting beta2 agonist, and immediately administers to the child. What is the anticipated outcome of the administration of this medication to this child? A. Asthmatic symptoms should resolve within 5 to 10 minutes after administration of medication. B. The child's asthma attack will be unresponsive to the administration of the medication. C. The medication administration will cause an increased in the child's heart rate. D. The bronchioles and alveoli in response to the medication will dilate and lung expansion will increase - correct answers.B. The child's asthma attack will be unresponsive to the administration of the medication. Rationale: During an asthma attack long-acting beta2 agonist (LABAs) delivered by inhaler directly to the bronchioles will have little effect. LABAs are used as a preventive medication and need time to build up an effect LABAs should be co-administered with inhaled steroids. Clients need to be instructed not to use LABAs to relieve an asthma attack or if wheezing becomes worse. During assessment of the thorax and lungs, which technique should the nurse use to assess the client's AP diameter? A. Inspection B. Percussion C. Palpation D. Auscultation - correct answers.A. Inspection Rationale: The nurse uses inspection to observe and compare the antero-posterior (AP) diameter with the transverse diameter of the chest. A client with a blunt chest trauma has developed a tension pneumothorax. Which piece of equipment should a nurse anticipate and obtain immediately for the healthcare provider to use to help assist the client with this condition? A. chest tube. B. A large bore needle C. An elastic bounding wrap D. A non-permeable occlusive dressing - correct answers.B. A large bore needle Rationale: The initial management of a tension pneumothorax is the insertion of a large bore needle in the second intercostal space in the midclavicular line of the affected side to relieve some of the trapped air on that side of the pleural cavity causing the lung to collapse. The procedure is followed by the placement of a chest tube in the 4th intercostal space and is attached to a water seal until the lung re-inflates. An emergency department nurse is triaging an unaccompanied, unconscious client. Upon inspection the nurse notices some paradoxical movement of the anterior lower chest area. The client's blood pressure is 88/54mmHg. The heart rate is 112 beats per minute and the client's oxygen saturation via pulse oximetry is 91% on room air. Based on these findings which condition should the nurse suspect? A. Lung tumor. B. Broken ribs. C. Pneumothorax. D. Pulmonary infiltrates. - correct answers.B. Broken Ribs Rationale: The client's presenting symptom of paradoxical movement of the thorax cavity is indicative of broken ribs or one rib that is fractured in more than one place. This condition is referred to as a "flail chest". The paradoxical chest movement is often accompanied by client complaints of pain, especially when coughing or trying to breath deeply. Other symptoms include dyspnea, cyanosis, tachycardia and hypotension depending upon how severe the injury. Which nursing actions should be implemented to reduce the risk of the development of acute respiratory distress syndrome (ARDS)?