Correctly answered and Graded A++
A client is admitted to a hospital for surgery to correct urinary incontinence. What should the
nurse instruct the client about to avoid infections while cleaning the perineal region?
1.Wipe from the urinary meatus toward the rectum.
2.Wipe from the rectum toward the urinary meatus.
3.Clean the perineal region once a day.
4.Cleaning the perineal area is more important for young women then for older women past
menopause - CORRECT ANSWER ✔✔ -1. Wipe from the urinary meaturs toward the rectum
A client is brought to the emergency room in an unconscious state. On taking the history the
nurse finds that the client had accidentally consumed agricultural pesticides. What intervention
does the nurse perform to prevent the risk of aspiration in this client?
1.Avoid the use of nasogastric tubes in the client.
2.Position the client with head turned.
3.Position the client with head straight.
4.Make arrangements for suctioning of the secretions for the client. - CORRECT ANSWER ✔✔
-2.Position the client with head turned.
A client is isolated 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?
, 1.Provide a dark, quiet room to calm the client.
2.Reduce the level of precautions to keep the client from becoming angry.
3.Explain the reasons for isolation procedures and provide meaningful stimulation.
4.Limit family and other caregiver visits to reduce the risk of spreading the infection. -
CORRECT ANSWER ✔✔ -3.Explain the reasons for isolation procedures and provide
meaningful stimulation.
A client who is a chronic smoker suffers a cerebrovascular accident. On assessment, the nurse
learns that gait and vision are normal, but the client is anxious and has a fear of falling. How
does the nurse help the client in managing anxiety? Select all that apply.
1 Refer the client for an ophthalmologic assessment.
2 Suggest the elimination of obstacles in the home.
3 Establish a therapeutic relationship with the client.
4 Encourage the use of effective coping skills.
5 Remind the client to scan the surrounding environment. - CORRECT ANSWER ✔✔ -3
Establish a therapeutic relationship with the client.
4 Encourage the use of effective coping skills.
A head nurse is teaching cough etiquette to staff members at the hospital. What should the nurse
include in the instructions? Select all that apply.
1 . Cover the nose and mouth with a tissue when coughing.