The nurse notes that a patient is positive for the hepatitis B surface antigen. Which questions should the
nurse include in the patient's assessment to
... [Show More] help determine the source of the infection?
Select all that apply.
1. "Have you been anywhere where the water may have been contaminated?"
2. "Have you eaten any food in areas where the workers may not have had access to hand washing?"
3. "Have you had unprotected sex with anyone who has hepatitis B?"
4. "Have you eaten any raw shellfish lately?"
5. "Have you had a recent blood transfusion?"
6. "Do you share needles with anyone?" - ✔✔Show/hide explanation
1) hepatitis A is spread through the fecal-oral route by ingestion of fecal contaminants
2) hepatitis A is spread through the fecal-oral route by ingestion of fecal contaminants
3) CORRECT - hepatitis B is shed in the body fluid of infected individuals; a mode of transmission of
hepatitis B is from unprotected sex with someone who is infected
4) refers to transmission hepatitis A
5) CORRECT - hepatitis B is shed in the body fluid of infected individuals; a mode of transmission of
hepatitis B is from blood transfusions
6) CORRECT - hepatitis B is shed in the body fluid of infected individuals; a mode of transmission of
hepatitis B is needle sharingThe nurse provides care for a newly delivered infant with a temperature of 97.2 °F (36.2°C). Which
actions will the nurse take when caring for this newborn?
Select all that apply.
1. Place the newborn skin-to-skin on the mother's chest.
2. Double wrap the newborn in blankets from the clean linen cart.
3. Place a hat/cap on the newborn's head.
4. Place the dry and diapered newborn under a radiant warmer.
5. Bathe the newborn in warm water while protecting the umbilical stump. - ✔✔Show/hide explanation
1) CORRECT- Infant needs to be warmed. Skin-to-skin maternal-infant contact can help raise the infant's
temperature.
2) Cover the couplet with a warmed blanket. Blankets for newborns with a low temperature need to be
pre-warmed; blankets from the linen cart are not pre-warmed.
3) CORRECT - Covering the newborn's head with a hat/cap, or swaddling in a blanket with its head
covered, will help prevent heat loss from the head.
4) CORRECT - Newborns need to wear only a diaper under a radiant warmer; this action increases the
surface area to absorb the radiant heat.
5) Newborns need to be thermodynamically stable prior to the first bath. The newborn will lose heat due
to evaporation during the bath.
The client was recently admitted from the emergency department. The nurse prepares the client's
prescribed medications. Which steps does the nurse take to ensure the client receives the correct
medication?
Select all that apply.1. Asks another nurse to verify the medications after retrieving the medications from the medication
system.
2. Documents the administration of the medications before delivering them to the client.
3. Calls the client by name only to make sure the correct client is receiving the correct medication.
4. Focuses only on the delivery of the medication for the client.
5. Questions the prescriber of a medication if the dose seems too large.
6. Verifies the medication label with the medication administration record three times. - ✔✔Show/hide
explanation
1) double verification is only required for specific medications, such as insulin; double-verifying all
medications is impractical; some calculated dosages shoul [Show Less]