A home health nurse is reinforcing teaching with a client who has human immunodeficiency virus (HIV).
Which or the following instructions should the nurse reinforce to maintain infection control in the
client's home? - (answer)Wash dishes in hot soapy water.
A nurse is reinforcing discharge teaching with a client regarding food safety in the home. Which of the
following statements should the nurse include? - (answer)Do not leave perishable foods at room
temperature for longer than 2 hours.
A nurse is implementing transmission prevention measures for a client who has active tuberculosis.
Which of the following measures should the nurse include? - (answer)Place a surgical mask on the client
when transporting them to other departments
A nurse is transferring a client who has lower extremity paralysis from a bed to a chair using a
transportable hydraulic lift. Which of the following actions should the nurse take to help prevent injury
to the client during the transfer? - (answer)Place the lower edge of the sling under the knees and the
upper edge under the shoulders.
A nurse is observing an assistive personnel (AP) provide care to a client in the immediate postoperative
period following a subtotal thyroidectomy. Which of the following actions by the AP requires
intervention by the nurse? - (answer)The AP positions the client supine.
A nurse is reinforcing teaching with an older adult client about the influenza vaccine. Which of the
following statements should the nurse make? - (answer)"Make sure you receive the high-dose vaccine."
A nurse is assisting with teaching a class of clients about health promotion and prevention. Which of the
following statements should the nurse make? - (answer)"You should receive a tetanus booster every 10
years."
A nurse is collecting data from a client who reports hearing loss. Which of the following tests should the
nurse perform to identify conductive hearing loss? - (answer)Weber
, PN VATI Medical-Surgical Practice Questions & Answers
A nurse is assisting a client who is having a pelvic examination for the first time. The client states, "I am
really nervous." Which of the following statements should the nurse make? - (answer)"I'll be in the room
with you throughout the examination."
A nurse is caring for a client who has expressive aphasia. Which of the following actions should the nurse
take? - (answer)Offer the client a communication board with pictures
The nurse should provide the client with a communication board that shows pictures because a client
who has expressive aphasia is unable to articulate their needs. - (answer)"Keep two points of support on
the floor at all times."
A nurse is caring for a client who has Parkinson's disease and reports difficulty eating. Which of the
following interventions should the nurse implement to help the client eat? - (answer)Offer the client an
adaptive fork during meals.
A nurse is reinforcing teaching with a client who is postoperative following a subtotal gastrectomy about
dietary changes to help prevent dumping syndrome. Which of the following statements by the client
indicates an understanding of the teaching? - (answer)"I should restrict eating sugary and starchy food."
A nurse is reinforcing teaching with a client who is at risk for osteoporosis. Which of the following foods
should the nurse identify as providing the highest amount of dietary calcium? - (answer)3 oz canned
salmon
A nurse is reinforcing teaching about the use of hearing aids with a client who has hearing loss. Which of
the following actions should the nurse take? - (answer)Instruct the client to disconnect the battery when
the device is not in use.
A nurse is reinforcing teaching about the purpose of insulin with a client who has type 1 diabetes
mellitus. Which of the following information should the nurse include in the teaching? - (answer)It
facilitates body cell use of glucose for energy."
A nurse is caring for a client who is taking digoxin daily and develops digoxin toxicity. The nurse should
monitor the client for which of the following adverse effects? - (answer)Dysrhythmia