2024 With Verified Solutions
Azchargeznurseziszdiscussingzthezresponsibilityzofznurseszcaringzforzclientszwhozhavezazclostridiumzdifficilezi
nfection.zWhichzofzthezfollowingzinformationzshouldztheznursezincludezinzthezteaching?z
-assignzthezclientztozazroomzwithzaznegativezairflowzsystem.z
-usezalcohol-basedzhandzsanitizerzwhenzleavingzthezclient'szroom.z
-cleanzcontaminatedzsurfaceszinzthezclientszroomzwithzazphenolzsolution.z
-havezfamilyzmemberszwearzazgownzandzgloveszwhenzvisiting.z-zCORRECTzANSWER--
zHavezfamilyzmemberszwearzazgownzandzgloveszwhenzvisiting.
Aznurseziszgivingzchange-of-
shiftzreportzaboutzazclientztheyzadmittedzearlierzthatzdayzwhozhaszpneumonia.zWhichzofzthezfollowingzpie
ceszofzinformationziszthezpriorityzforztheznurseztozprovidez?z
-admittingzdiagnosisz
-breathzsoundsz
-bodyztemperaturez
-diagnosticztestzresultsz-zCORRECTzANSWER--breathzsounds
Aznurseziszpreparingztozdelegatezclientzcareztasksztozanzassistivezpersonnelz(AP).zWhichzofzthezfollowingzta
skzshouldztheznursezdelegate?z
-Ambulatingzazclientzwhoziszpostoperativez
-Insertingzanzindwellingzurinaryzcatheterzforzazclientz
-Demonstratingzthezusezofzanzincentivezspirometerztozazclient
-Confirmingzthatzazclient'szpainzhaszdecreasedzafterzreceivingzanzanalgesic.z-zCORRECTzANSWER--
Ambulatingzazclientzwhoziszpostoperative.
,Aznursezenterszazclientszroomzandzfindszherzonzthezfloor.zThezclient'szroommatezreportszthatzthezclientzwa
sztryingztozgetzoutzofzbedzandzfellzoverzthezsidezrailzontozthezfloor.zWhichzofzthezfollowingzstatementszshou
ldztheznursezdocumentzaboutzthiszincidentz?z
-"incidentzreportzcompleted"z
-"clientzclimbedzoverzthezsidezrails"z
-"clientzfoundzlyingzonzfloor"z
-"clientzwasztryingztozgetzoutzofzbed"z-zCORRECTzANSWER--"Clientzfoundzlyingzonzfloor"
Aznurseziszcaringzforzazclientzwhozhaszazprescriptionzforzwoundzirrigation.zWhichzofzthezfollowingzactionszs
houldztheznurseztakez?z
-wearzsterilezgloveszwhenzremovingzthezoldzdressing.z
-warmzthezirrigationzsolutionztoz40.5*zCz(105*zF)z
-cleansezthezwoundzfromzthezcenterzoutward.z
-usezaz20-mlzsyringeztozirrigatezthezwound.z-zCORRECTzANSWER--
cleansezthezwoundzfromzthezcenterzoutward.
Aznurseziszadmittingzazclientzwhozhaszrubella.zWhichzofzthezfollowingztypeszofztransmission-
basedzprecautionszshouldztheznursezinitiate?z
-droplet
-airborne
-contactz
-protectivezenvironmentz-zCORRECTzANSWER--droplet
Aznurseziszprovidingzdischargezteachingzforzazclientzwhozhaszaznewzprescriptionzforzazhomezoxygenzconcen
trator.zWhichzofzthezfollowingzinstructionszshouldztheznursezprovideztozthezclientzandzhiszfamily?z(Selectzal
lzthatzapply).z
-checkzthezcordzroutinelyzforzfrayszorztearingz
,-keepzthezunitzatzleastz1.2mz(4zfeet)zawayzfromzazgaszstove.z
-considerzpurchasingzazgeneratorzforzazpowerzbackup.z
-observezforzsignszofzhypoxiaz
-selectzsyntheticzclothingzandzbedding.z-zCORRECTzANSWER--checkzcordzroutinelyzforzfrayszorztearing.z
-considerzpurchasingzazgeneratorzforzpowerzbackupz
-observezforzsignszofzhypoxia
Aznurseziszcalculatingzazclient'szfluidzintakezoverzthezpastz8hr.zWhichzofzthezfollowingzitemszshouldztheznurs
ezplanztozdocumentzonzthezclientszintakezandzoutputzrecordzasz120-mlzofzfluid?z
-2zcupszofzsoup
-1zquartzofzwaterz
-8zozzofzicezchipsz
-6zozzofzteaz-zCORRECTzANSWER--8zozzofzicezchips
Aznurseziszcaringzforzazclientzwhozhasztuberculosis.zWhichzofzthezfollowingzactionszshouldztheznurseztake?z(
zselectzallzthatzapply)z
-placezthezclientzroomzwithzaznegative-pressurezairflow
-wearzgloveszwhenzassistingzazclientzwithzoralzcare.z
-limitzeachzvisitorztoz2-hrzincrements.z
-wearzazsurgicalzmaskzwhenzprovidingzclientzcare.z
-usezantimicrobialzsanitizerzforzhandzhygienez-zCORRECTzANSWER--
placezthezclientzinzazroomzwithznegative-pressurezairflowz
-wearzgloveszwhenzassistingzthezclientzwithzoralzcare
-usezantimicrobialzsanitizerzforzhandzhygiene
Aznurseziszcaringzforzazclientzwhoziszrefusingzazbloodztransfusionzforzreligiouszreasons.zThezclient'szpartnerz
wantszthezclientztozhavezthezbloodztransfusion.zWhichzofzthezfollowingzactionszshouldztheznurseztake?z
, -askzthezclientztozconsiderzazdirectzdonationz
-withholdzthezbloodztransfusionz
-requestzazconsultationzwithzthezethicszcommitteez
-askzthezclientszfamilyztozintervenez-zCORRECTzANSWER--withholdzthezbloodztransfusion
Aznurseziszteachingzazclientzwhosezleftzlegziszinzazcastzaboutzusingzcrutches.zWhichzofzthezfollowingzstatem
entszshouldztheznursezidentifyzaszanzindicationzthatzthezclientzunderstandszthezteaching?z
-"whenzdescendingzstairs,zIzwillzfirstzshiftzmyzweightztozmyzrightzleg."z
-"Izshouldzplacezmyzcrutchesz12zincheszin-frontzandztozthezsidezofzeachzfood"z
-"aszIzsitzdown,zIzwillzholdzonezcrutchzinzeachzhand."z
-"Izwillzmakezsurezthezshoulderzrestzarezsnugzagainstzmyzarmpits."z-zCORRECTzANSWER--
"whenzdescendingzstairs,zIzwillzfirstzshiftzmyzweightztozmyzrightzleg"
Aznursezhaszacceptedzazverbalzprescriptionz"forzthreeztenthszofzazmilligramzofzlevothyroxinezIVzstat"zforzazc
lientzwhozhaszmyxedemazcoma.zHowzshouldztheznurseztranscribezthezdosagezofzthiszmedicationzinzthezclie
ntszmedicalzrecord?z
-z.3zmgz
-z0.3zmgz
-z0.30zmgz
-z3/10zmgz-zCORRECTzANSWER-"0.3zmg"
Aznurseziszcaringzforzazclientzwhozhaszanzindwellingzurinaryzcatheter.zWhichzofzthezfollowingzfindingszindic
ateszthatzthezcatheterzrequireszirrigation?z
-Urinezhaszanzunusualzorder.z
-Urinezspecificzgravityzisz1.035.z
-Bladderzscanzshowsz525zmlzofzurinez
-Urineziszpositivezforzketones.z-zCORRECTzANSWER--Bladderzscanzshowsz525zmlzofzurine