, A nurse is preparing to change the bed linens of a client - Gown
who has AIDS and is incontinent of stool. Which of the - Gloves
following personal protective equipment (PPE) should
the nurse don prior to providing client care?
- Gown
- Gloves
- Mask
- Hair cover
- Goggles
A nurse is assessing a client who has a fractured left Chest petechiae
femur and is in skeletal traction. Which of the following
findings should the nurse report to the provider? The nurse should identify chest petechiae as an indication of fat embolism
- Ecchymosis of the thigh syndrome. Clients who have fractures of the long bones, such as the femur, are at
- Serous drainage at the pin site increased risk for fat emboli. Fat emboli typically occur 12 to 48 hr after the injury
- Chest petechiae when fat droplets from the marrow enter into the systemic circulation and are
- Muscle spasms in the left leg deposited in the lungs. The nurse should immediately notify the provider because
the client could progress into acute respiratory failure.
A nurse is providing teaching about antiretroviral therapy "You should take antiretroviral medications on a routine schedule."
to a client who has a new diagnosis of AIDS. Which of the
following statements should the nurse include in the The nurse should inform the client of the need to take antiretroviral therapy
teaching? exactly as prescribed and to avoid delaying or skipping any doses, which can
- "Your provider will prescribe one single antiretroviral result in medication resistance.
medication at a time."
- "You should take antiretroviral medications on a routine
schedule."
- "You should increase your intake of raw fruits and
vegetables while taking antiretroviral medications."
- "Your provider will prescribe antiretroviral therapy to kill
the HIV virus."
A nurse is caring for a client who is 72 hr post operative Assist the client to a prone position every 4 hr.
following an above-the-knee amputation. Which of the
following actions should the nurse take? The nurse should assist the client to a prone position for 20 to 30 min every 3 to 4
- Elevate the residual limb on a soft pillow. hr following an amputation because it reduces the risk of flexion contractures.
- Assist the client to a prone position every 4 hr.
- Reapply a bandage to the residual limb every 12 hr.
- Apply dressings to the site in a proximal-to-distal
direction.
A home health nurse enters a client's home and finds Place the syringe in a puncture-proof disposal container.
used insulin syringe, without a cap, on the table. Which of
the following actions should the nurse take? The nurse should place the uncapped syringe in a puncture-proof sharps disposal
- Recap the needle on the syringe. container or rigid plastic container to prevent a needlestick injury. The nurse
- Schedule a nurse to administer future injections for this should keep the syringe uncapped to prevent a needlestick injury while placing
client. the cap on the needle. The nurse should then provide client education on safety
- Explain to the client that the syringe should be and proper disposal of syringes.
disposed of in the bathroom trash can.
- Place the syringe in a puncture-proof disposal
container.
who has AIDS and is incontinent of stool. Which of the - Gloves
following personal protective equipment (PPE) should
the nurse don prior to providing client care?
- Gown
- Gloves
- Mask
- Hair cover
- Goggles
A nurse is assessing a client who has a fractured left Chest petechiae
femur and is in skeletal traction. Which of the following
findings should the nurse report to the provider? The nurse should identify chest petechiae as an indication of fat embolism
- Ecchymosis of the thigh syndrome. Clients who have fractures of the long bones, such as the femur, are at
- Serous drainage at the pin site increased risk for fat emboli. Fat emboli typically occur 12 to 48 hr after the injury
- Chest petechiae when fat droplets from the marrow enter into the systemic circulation and are
- Muscle spasms in the left leg deposited in the lungs. The nurse should immediately notify the provider because
the client could progress into acute respiratory failure.
A nurse is providing teaching about antiretroviral therapy "You should take antiretroviral medications on a routine schedule."
to a client who has a new diagnosis of AIDS. Which of the
following statements should the nurse include in the The nurse should inform the client of the need to take antiretroviral therapy
teaching? exactly as prescribed and to avoid delaying or skipping any doses, which can
- "Your provider will prescribe one single antiretroviral result in medication resistance.
medication at a time."
- "You should take antiretroviral medications on a routine
schedule."
- "You should increase your intake of raw fruits and
vegetables while taking antiretroviral medications."
- "Your provider will prescribe antiretroviral therapy to kill
the HIV virus."
A nurse is caring for a client who is 72 hr post operative Assist the client to a prone position every 4 hr.
following an above-the-knee amputation. Which of the
following actions should the nurse take? The nurse should assist the client to a prone position for 20 to 30 min every 3 to 4
- Elevate the residual limb on a soft pillow. hr following an amputation because it reduces the risk of flexion contractures.
- Assist the client to a prone position every 4 hr.
- Reapply a bandage to the residual limb every 12 hr.
- Apply dressings to the site in a proximal-to-distal
direction.
A home health nurse enters a client's home and finds Place the syringe in a puncture-proof disposal container.
used insulin syringe, without a cap, on the table. Which of
the following actions should the nurse take? The nurse should place the uncapped syringe in a puncture-proof sharps disposal
- Recap the needle on the syringe. container or rigid plastic container to prevent a needlestick injury. The nurse
- Schedule a nurse to administer future injections for this should keep the syringe uncapped to prevent a needlestick injury while placing
client. the cap on the needle. The nurse should then provide client education on safety
- Explain to the client that the syringe should be and proper disposal of syringes.
disposed of in the bathroom trash can.
- Place the syringe in a puncture-proof disposal
container.
