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a nurse is completing a SOAP note in a clients chart. In which of the following sections should
the clients vital signs be documented ? - correct answer ✔✔ Objective
Five rights of delegation - correct answer ✔✔ Right communication
a nurse is caring for a client who has dysphagia. The nurse should monitor the client for which
of the following complications? - correct answer ✔✔ pneumonia
A nurse is caring for a client who had a stroke and has dysphagia. The nurse should monitor the
client for which of the following complications ? - correct answer ✔✔ aspiriation
A nurse is caring for a client who is scheduled for surgery and who reports they smoke
cigarettes. the nurse should identify that tobacco use increases the clients risk for which of the
following postoperative complications ? - correct answer ✔✔ Blood clots
a nurse is collecting data on a client who is experiencing hypervolemia. Which of the following
findings should the nurse expect ? - correct answer ✔✔ peripheral edema
define peripheral Edema - correct answer ✔✔ a condition where excess fluid accumulates in the
tissue of the extremities, typically the legs, feet, and ankles
A nurse is collecting data on a client who is experiencing hypovolemia. Which of the following
findings should the nurse expect ? - correct answer ✔✔ decreased oliguria output decreased
capillary refill, and confusion.
,Name any medical history that can increase the client's susceptibility to infection - correct
answer ✔✔ -BMI of 16 (critically low)
-diabetes
- budesonide 6mg PO QD
Why does low BMI can cause you to have infection ? - correct answer ✔✔ malnutrition
why does use of steroid can cause you to have infection ? - correct answer ✔✔ weaken your
immune system
why does diabetes type 2 put you at risk to have infection ? - correct answer ✔✔ weaken you
immune system
what kind of isolation will a patient with cdiff will have ? - correct answer ✔✔ private room
when taking care of patients with cdiff, what PPE should the nurse wear ? - correct answer ✔✔
gown, gloves
a nurse is caring for a client who acquired a staphylococcus aureus infection from touching a
contaminated towel. through which of the following modes of transmission did the client
acquire the infection ? - correct answer ✔✔ indirect contact
a nurse is caring for a client who acquired hepatitis A from consuming contaminated food. The
clients mouth is an example of which of the following links in the chain of infection ? - correct
answer ✔✔ portal of entry
a nurse is reviewing laboratory values for a client. Which laboratory findings indicates the
presence of an infection ? - correct answer ✔✔ WBC count 22,000mm3
, varicella is spread via _______________ transmission - correct answer ✔✔ airborne
Rubeola is spread via ______________ transmission - correct answer ✔✔ airborne
tuberculosis is spread via ___________________ transmission - correct answer ✔✔ airborne
A nurse is collecting data from a client who has seasonal allergies and taking an antihistamine.
which of the following findings is an adverse effect of this type of medications ? - correct answer
✔✔ dry mouth
a nurse is caring for a client who has impaired speech. Which of the following actions should the
nurse take ? - correct answer ✔✔ allow extra time to communicate with the client
a nurse is caring for a client who has a moderate vision impairment. which of the following
actions should the nurse take ? - correct answer ✔✔ face the client while speaking to them
a nurse is assisting an infection control nurse teach a class about transmission of infectious
agents. the nurse should include that which of the following diseases is transmitted via airborne
transmission ? - correct answer ✔✔ -varicella
-tuberculosis
-rubeola
a nurse is caring for a client who has dysphagia. the nurse should monitor the client for which of
the following complications ? - correct answer ✔✔ pneumonia
A nurse is assisting with the care of a client who is scheduled for a surgical procedure. Select the
3 findings that require immediate follow-up. - correct answer ✔✔ -INR
-Preoperative medication
-WBC count