A home health nurse is reinforcing teaching with a client who has human immunodeficiency virus (HIV). Which or the
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following instructions should the nurse reinforce to maintain infection control in the client's home? - answersWash dishe
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in hot soapy water.
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The client should wash dishes in hot soapy water to minimize infectious agents and prevent the spread of infection.
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A nurse is reinforcing discharge teaching with a client regarding food safety in the home. Which of the following statemen
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should the nurse include? - answersDo not leave perishable foods at room temperature for longer than 2 hours.
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The nurse should reinforce with the client that perishable foods should be refrigerated within 2 hr to reduce the risk of micr
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A nurse is implementing transmission prevention measures for a client who has active tuberculosis. Which of the followin
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measures should the nurse include? - answersPlace a surgical mask on the client when transporting them to other
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departments
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While transporting the client within the facility, the nurse should have the client wear a surgical mask to protect others from
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coming in contact with tuberculosis. A client who has tuberculosis requires airborne isolation precautions because
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tuberculosis can remain in the air for several hours.
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A nurse is transferring a client who has lower extremity paralysis from a bed to a chair using a transportable hydraulic lift.
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Which of the following actions should the nurse take to help prevent injury to the client during the transfer? - answersPlac
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the lower edge of the sling under the knees and the upper edge under the shoulders.
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The nurse should place the lower edge of the sling under the client's knees and the upper edge under the client's shoulde
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to ensure that the majority of the client's weight is positioned on the sling. This action helps prevent injury to the client duri
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transfer.
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A nurse is observing an assistive personnel (AP) provide care to a client in the immediate postoperative period following
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subtotal thyroidectomy. Which of the following actions by the AP requires intervention by the nurse? - answersThe AP
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positions the client supine.
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The nurse should ensure that the AP places the client in a high-Fowler's position following a subtotal thyroidectomy to
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decrease swelling that could compromise the client's airway.
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A nurse is reinforcing teaching with an older adult client about the influenza vaccine. Which of the following statements
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should the nurse make? - answers"Make sure you receive the high-dose vaccine."
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The nurse should inform the client that the CDC recommends that older adults receive the high-dose vaccine. This vacci
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contains four times the amount of virus antigens and helps to boost immunity in the older adult.
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A nurse is assisting with teaching a class of clients about health promotion and prevention. Which of the following
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statements should the nurse make? - answers"You should receive a tetanus booster every 10 years."
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,The nurse should instruct the clients to receive a tetanus booster every 10 years to reduce the risk of tetanus.
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A nurse is collecting data from a client who reports hearing loss. Which of the following tests should the nurse perform to
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identify conductive hearing loss? - answersWeber
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The nurse should plan to perform the Weber test to identify if the client has conductive hearing loss.
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A nurse is assisting a client who is having a pelvic examination for the first time. The client states, "I am really nervous."
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Which of the following statements should the nurse make? - answers"I'll be in the room with you throughout the
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examination."
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The nurse should tell the client that they will be with them during the examination and will explain the steps of the procedur
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as they occur.
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A nurse is caring for a client who has expressive aphasia. Which of the following actions should the nurse take? -
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answersOffer the client a communication board with pictures
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The nurse should provide the client with a communication board that shows pictures because a client who has expressiv
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aphasia is unable to articulate their needs.
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The nurse should provide the client with a communication board that shows pictures because a client who has expressiv
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aphasia is unable to articulate their needs. - answers"Keep two points of support on the floor at all times."
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The client must have both feet or one foot and the quad cane on the floor at all times to keep an equal balance and avoid
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being off balance, which can lead to a fall.
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A nurse is caring for a client who has Parkinson's disease and reports difficulty eating. Which of the following intervention
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should the nurse implement to help the client eat? - answersOffer the client an adaptive fork during meals.
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Clients who have Parkinson's disease have tremors. Adaptive utensils, including weighted or gripped forks, provide the
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client with a greater ability to eat independently while compensating for their existing dysfunctions.
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A nurse is reinforcing teaching with a client who is postoperative following a subtotal gastrectomy about dietary changes
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help prevent dumping syndrome. Which of the following statements by the client indicates an understanding of the
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teaching? - answers"I should restrict eating sugary and starchy food."
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A client who had a subtotal gastrectomy should avoid high-carbohydrate meals due to the risk of hypoglycemia caused b
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rapid insulin release.
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A nurse is reinforcing teaching with a client who is at risk for osteoporosis. Which of the following foods should the nurse
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identify as providing the highest amount of dietary calcium? - answers3 oz canned salmon
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Osteoporosis is a disease that results in a decrease in bone mass and increases the risk for fractures. Methods of limiting ,i . ,i. ,i. ,i. ,i. ,i. ,i. ,i . ,i . ,i . ,i. ,i. ,i. ,i . ,i. ,i . , i. ,i. ,i . , i.
the effects of osteoporosis include weight-bearing activities and increasing dietary calcium intake. Foods high in calcium
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include fish with edible bones such as canned salmon or sardines. The nurse should recognize that 3 oz of salmon conta
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183 mg of calcium.
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A nurse is reinforcing teaching about the use of hearing aids with a client who has hearing loss. Which of the following
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actions should the nurse take? - answersInstruct the client to disconnect the battery when the device is not in use.
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