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1. A home health nurse is caring for a child who has lyme disease.Which ofthe following
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is an appropriate action for the nurse to take
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a. Ensure the state health department has been notified
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b. Administer antitoxin gv
c. Educate the family to avoid sharing personal belongings
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d. Assess for skin necrosis
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:Answer>> a.Ensure the state health department has beennotified
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2. A nurseis caring fora client who has been admitted to the hospital.(NGN)
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:Answer>> -Provide frequent rest periods
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- Restrict client sodium intake
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,- Advise client to avoid using soap and alcohol based lotion
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,Instruct the client to avoid blowing their nose forcefully
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- Assess the client's lv of orientation
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3. Anurseis caring foraclientwhohasa ventedNGtube settolowintermittentsuction and has
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vomited. Which of the following actions should the nurse perform first?
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a. Administered an antiemetic medication gv gv gv
b. Evaluate functioning of the suction device gv gv gv gv gv
c. Provide oral hygrine care gv gv gv
d. Replace the NG tube gv gv gv
:Answer>> b.Evaluate functioning of the suction device gv gv gv gv gv gv gv
4. While performing a routine assessment, a nurse notices fraying on the electrical cor
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d of a client's continuous passive motion device.Which of thefollowing actions should t
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he nurse take first
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a. Initiate a requisition for a replacement CPM device
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b. Report the defect to the equipment maintenance staff
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c. Remove the device from the room gv gv gv gv gv
d. Ensure the deviceinspection stickeris current
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:Answer>> c.Removethe devicefrom theroom gv gv gv gv gv gv
5. A nurse is setting up a sterile field to perform would irrigation for a client. Which of the
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following actions should the nurse take when pouring the sterilesolution
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a. Remove the cap and place it sterile-side up on a clean surface
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b. Pace sterile gauze over areas of spilled
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, c. Hold the bottle in the center of the sterile field when pouring the solution
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