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,The nurse is caring for a client who recently started 3.
taking rifampin as part of a multi-drug regimen for active Client's repeat sputum culture is still positive for TB.
tuberculosis (TB).
Which of the following findings should receive the
highest priority?
1.
The client's sclera and skin appear yellow.
2.
The client's contact lenses are stained red.
3.
Client's repeat sputum culture is still positive for TB.
4.
The client struggles to remember to take medications
daily.
The nurse is planning a staff education program about 3.
electroconvulsive therapy (ECT). Clients should frequently be reoriented following ECT because confusion is
Which of the following information should the nurse common.
include?
1.
Educate clients to eat a well-balanced meal prior to
arriving for this procedure.
2.
Clients can drive themselves home from this procedure
after a short recovery period.
3.
Clients should frequently be reoriented following ECT
because confusion is common.
4.
Bone fractures are a common injury because of the
seizure activity induced during ECT.
The nurse has been made aware of the following client B. 6 year old with bacterial endocarditis and hr of 105
situations.
A. 75-year old with A fib and has metoprolol due
B. 6 year old with bacterial endocarditis and hr of 105
C. 57 year old with hypokalemia with frequent artifact on
the tele monitor
D. 17 year old with anorexia nervosa with a HR of 50 and
has not eaten today
The nurse should first assess the client
, The nurse is planning a staff education program about 1.
tuberculosis (TB). Two clients with TB can share the same room.
Which of the following information should the nurse
include?
1.
Two clients with TB can share the same room.
2.
Clients should be placed in a positive pressure room.
3.
A surgical mask must be worn within 6 feet of the client.
4.
Clients need to wear a surgical mask when being
transported.
The nurse is caring for multiple clients in the emergency
department.
Which of the following client conditions would require
the nurse to implement droplet precautions? Select all
that apply.
1.
Pulmonary tuberculosis with hemoptysis
2.
Herpes simplex virus lesions on the mouth and nose
3.
Diarrhea with stool culture positive for E. coli O157.H7
4.
Myalgias, chills, rigors, and a productive cough for 2 days
5.
Sore throat with culture positive for group A
Streptococcus
The nurse is administering an enema to a client when the 3.
client reports painful cramping. Pause instillation and lower bag before resuming.
Which of the following actions should the nurse take?
1.
Change the client's position to prone.
2.
Advance the tube further into the colon.
3.
Pause instillation and lower bag before resuming.
4.
Discontinue instillation and notify health care provider.
The nurse is screening clients for those at risk for 3.
colorectal cancer. consumes a diet high in red and processed meats
At highest risk for colorectal cancer is the client who
1.
has dysphagia after experiencing a stroke
2.
takes ibuprofen daily for chronic joint pain
3.
consumes a diet high in red and processed meats
4.
lost 200 lbs (90.7 kg) after a gastric bypass surgery