v v v v v
AvnursevisvcaringvforvavclientvwhovhasvavClostridiumvdifficilevinfectionvandvisvinvcontactvisolation.vWh
ichvofvthevfollowingvactionAvnursevisvcaringvforvavclientvwhovhasvavClostridiumvdifficilevinfectionvandvi
svinvcontactvisolation.vWhichvofvthevfollowingvactionsvshouldvthevnursevtake?v-
vAv(Wearvglovesv whenvchangingvthevclient'svgown)
Avnursevisvcaringvforvanvadultvclientvinvthevterminalvstagesvofvlungvcancervwhovrefusesvanyvfurthervtr
eatment.vThevnursevshouldvprovidevcarevthatvfacilitatesvwhichvofvthevfollowingvoutcomes?v-
vDv(Supportsvself-determination)
Avnursevmanagervisvprovidingvteachingvtovavgroupvofvnewlyvlicensedvnursesvaboutvwaysvthatvclient
svacquirevhealthvcare-
associatedvinfectionsv(HAIs).vWhichvofvthevfollowingvroutesvofvinfectionvshouldvthevmanagervidentif
yvasvanviatrogenicvHAI?v-vDv(Infectionvacquiredvfromvavdiagnosticvprocedure)
Avnursevisvsupervisingvavnewlyvlicensedvnursevwhovisvcaringvfrovavclientvwithvstreptococcalvpharyng
itisvandvisvonvtransmission-
basedvprecautions.vWhichvofvthevfollowingvactionsvbyvthevnewlyvlicensedvnursevindicatesvanvunder
standingvofvdropletvprecautions?v-
vCv(Assigningvanothervclientv withvthevsamev infectionvtovsharevthevroomv withvav client)
Avnursevisvadmittingvavclientvwhovhasvtuberculosis.vInvadditionvtovstandardvprecautions,vwhichvofvth
evfollowingvtransmission-basedvprecautionsvshouldvthevnursevaddvtovthevclient'svplanvofvcare?v-
vBv(Airborne)
Avnursevisvpreparingvtovperformvmouthvcarevforvanvunresponsivevclient.vWhichvofvthevfollowingvacti
onsvshouldvthevnursevplanvtovtake?v-vCv(Raisevthevlevelvofvthevbed)
Avnursevisvprovidingvnutritionalvteachingvtovavgroupvofvclient'svWhichvofvthevfollowingvdefinitionsvforv
thevrecommendedvdietaryvallowancev(RDA)vshouldvthevnursevincludevinvthevteaching?v-
vBv(ThevRDAv definesvthev levelv ofvnutrientvintakevthatvmeetsvthevneedsvofvhealthyv peoplev inv variousv
groups)
AvnursevisvscreeningvavclientvwhovhasvanvS-
Shapedvspinalvcolumnvwithvunequalvshouldervheights.vThevnursevshouldvidentifyvthesevfindingsvasv
manifestationsvofvwhichvofvthevfollowingvabnormalities?v-vAv(Scoliosis)
, Avnursevisvperformingvavbreastvexaminationvforvavfemalevclient.vWhichvofvthevfollowingvtechniquesv
shouldvthevnursevusevfirst?v-vAv(Inspectvbothvbreastsvsimultaneously)
Avnursevratesvavclient'svbicepsvreflexvasvav2+.vWhichvofvthevfollowingvcharacteristicsvshouldvthevnur
sevdocumentvaboutvthevclient'svreflexes?v-vBv(Average)
Avnursevisvteachingvavclientvaboutvlifestylevchangesvtovmanagevavchronicvillness.vWhichvofvthevfollo
wingvstrategiesvshouldvthevnursevusevfirstvtovhelpvthevclientvmakevavcommitmentvtovthesevlifestylevc
hanges?v-
vDv(Helpvthevclientvidentifyv waysvthatvthesevchangesv willv resultvinvpositivev personalv outcomes)
Avnursevisvteachingvavgroupvofvyoungvadults.vWhichvofvthevfollowingvshouldvthevnursevidentifyvasvan
vexpectedvdevelopmentvtaskvforvthisvagevgroup?v-vAv (Independentvmoralvdevelopment)
Avmiddlevagedvadultvclientvisvdiscussingvfuturevplansvwithvthevnurse.vWhichvofvthevfollowingvstatem
entsvshouldvthevnursevidentifyvasvanvindicationvthatvthevclientvisvhavingvdifficultyvachievingvErikson'
svdevelopmentalvtaskvforvthevagevgroup?v-
vAv(Wevmissvourvdaughtervsovmuchvthatv wevarevgoingvtovmovev closervtovher.)
Avnursevisvteachingvavmiddle-
agedvfemalevclientvaboutvdiseasevpreventionvandvhealthvmaintenance.vWhichvofvthevfollowingvdiag
nosticvtestsvshouldvthevnursevrecommendvasvpartvofvthisvclient'svroutinevhealthvscreening?v-
vCv(Eyevexaminationveveryv 2v years)
Avnursevisvteachingvavmiddle-
agedvadultvclientvaboutvhealthvpromotionvandvdiseasevprevention.vThevnursevshouldvinformvthevclie
ntvthatvwhichvofvthevfollowingvchangesvcouldvoccur?v-
vAv(Decreasedvestrogenvandvtestosteronevproduction)
Avnursevisvteachingvavnewlyvlicensedvnursevaboutvpainvmanagementvinvclientsvagev65vandvolder.v
Whichvofvthevfollowingvpiecesvofvinformationvshouldvthevnursevincludevinvthevteaching?v-
vBv(Clientsv whovarevagev65v orvoldervarevreluctantvtovreportvpain.)
Avnursevisvprovidingvpreoperativevteachingvtovavclientvwhovisvscheduledvforvarthroplastyvinvthevnextv
monthvandvmayvrequirevavbloodvtransfusion.vThevclientvexpressesvconcernvaboutvthevriskvofvacquiri