Simulation: Real Life 4.0 Module: RN Adult Medical Surgical Infectious Disease practice question with answer

Nurse Jalen is reviewing the electronic medical record (EMR) and is preparing for Louis's admission. To which of the following rooms should nurse Jalen anticipate Louis being assigned? - answer A private room that has an attached anteroom. Charge nurse Erika and nurse Jalen are preparing to enter the client's room. Which of the following masks should nurse Jalen ensure are available to health care personnel before entering Louis's room? - answer D When reviewing Louis's data in the electronic medical record (EMR), nurse Jalen should recognize that which of the following factors place Louis at risk for tuberculosis (TB)? (Select all that apply.) - answer Louis's occupation Louis's travel history Which of the following factors should nurse Jalen recognize as placing Louis at risk for tuberculosis (TB)? - answer Louis used to work as a social worker in a correctional facility. Nurse Jalen has assessed Louis's respiratory status and has a prescription to obtain a sputum specimen. Which of the following actions should nurse Jalen take? - answer Provide Louis with a pillow to firmly press over his chest during expectoration. Nurse Jalen is preparing Louis for a chest x-ray. Which of the following actions should nurse Jalen plan to take? - answer Arrange for a portable x-ray to be performed in Louis's room. Nurse Jalen has completed an assessment on Louis and completed documentation in the electronic medical record (EMR). Which of the following findings should nurse Jalen recognize as the highest priority at this time? - answer Louis's fluid status Dr. Edwards has explained to Louis his upcoming diagnostic testing procedures and obtained consent for the bronchoscopy. Which of the following statements should Nurse Jalen include when preparing the client for their upcoming bronchoscopy? (Select all that apply) - answer "Please avoid eating and drinking after midnight to prevent delaying your bronchoscopy." "If you experience pain after midnight, we can give you acetaminophen with small sips of water." "Due to your platelet count, you may see more blood in your sputum after the procedure." "Prior to the procedure, you will be given a medication to sedate you and help you not remember the procedure." "You will have your heart rate, blood pressure, and respiratory rate monitored every 15 minutes for the first 2 hours after the procedure." Nurse Jalen has reinforced education to Louis about his upcoming bronchoscopy procedure. Which of the following statements by Louis indicates an understanding of the teaching? - answer "I'll request a snack from Angela tonight before I watch the 11 o'clock nightly news." Nurse Jalen is completing an assessment on Louis. Upon assessment, which of the following findings should nurse Jalen recognize as the priority? - answer Louis's oxygen saturation level Louis's cardiorespiratory monitor is alarming due to a low oxygen saturation reading. Which of the following actions should nurse Jalen take? - answer Increase the flow of oxygen using the flowmeter. Nurse Jalen is reviewing Louis's electronic medical record (EMR). Based on the data, which of the following interventions should Nurse Jalen include in Louis's plan of care? - answer Provide a bedside commode Nurse Jalen and assistive personnel (AP) Gene are preparing to enter Louis's room. Nurse Jalen should ensure that AP Gene takes which of the following actions when applying and removing personal protective equipment (PPE)? (Select all that apply). - answer The gloves should be removed by grasping the cuff and pulling the glove inside out over the hand. The cuffs of the gloves should be secured over the sleeves of the gown. The mask should be applied after the gown is in place. Nurse Jalen reviews with assistive personnel (AP) Gene how to apply the necessary personal protective equipment (PPE). Place the following options in the order of how the PPE should be applied. - answer Apply gown and tie at the neck and waist. Apply N95 mask. Apply clean gloves. Place glove cuffs over wristband of gown. Enter client's room. Nurse Jalen is preparing handoff report. Which of the following statements should Jalen make regarding how to transport Louis to the pulmonary lab in the morning? - answer "You should inform transport personnel that their PPE should be removed before leaving Louis's anteroom." Nurse Angela is preparing to review transmission-based precautions with assistive personnel (AP) Gene for a client who has Clostridium difficile. Which of the following statements should Nurse Angela include? - answer "Remember to wash your hands with soap and water before leaving the anteroom." Nurse Angela is planning Louis's care based on their discussion and the data in Louis's electronic medical record (EMR). Which of the following should nurse Angela plan to address first? - answer Louis's psychological state