A nurse is caring for a client who has a Clostridium difficile infection and is in contact
isolation. Which of the following actionA nurse is caring for
... [Show More] a client who has a Clostridium
difficile infection and is in contact isolation. Which of the following actions should the nurse
take? - A (Wear gloves when changing the client's gown)
A nurse is caring for an adult client in the terminal stages of lung cancer who refuses any
further treatment. The nurse should provide care that facilitates which of the following
outcomes? - D (Supports self-determination)
A nurse manager is providing teaching to a group of newly licensed nurses about ways that
clients acquire health care-associated infections (HAIs). Which of the following routes of
infection should the manager identify as an iatrogenic HAI? - D (Infection acquired from a
diagnostic procedure)
A nurse is supervising a newly licensed nurse who is caring fro a client with streptococcal
pharyngitis and is on transmission-based precautions. Which of the following actions by the
newly licensed nurse indicates an understanding of droplet precautions? - C (Assigning
another client with the same infection to share the room with a client)
A nurse is admitting a client who has tuberculosis. In addition to standard precautions, which
of the following transmission-based precautions should the nurse add to the client's plan of
care? - B (Airborne)
A nurse is preparing to perform mouth care for an unresponsive client. Which of the
following actions should the nurse plan to take? - C (Raise the level of the bed)
A nurse is providing nutritional teaching to a group of client's Which of the following
definitions for the recommended dietary allowance (RDA) should the nurse include in the
teaching? - B (The RDA defines the level of nutrient intake that meets the needs of healthy
people in various groups)
A nurse is screening a client who has an S-Shaped spinal column with unequal shoulder
heights. The nurse should identify these findings as manifestations of which of the following
abnormalities? - A (Scoliosis)
A nurse is performing a breast examination for a female client. Which of the following
techniques should the nurse use first? - A (Inspect both breasts simultaneously)
A nurse rates a client's biceps reflex as a 2+. Which of the following characteristics should
the nurse document about the client's reflexes? - B (Average)
A nurse is teaching a client about lifestyle changes to manage a chronic illness. Which of the
following strategies should the nurse use first to help the client make a commitment to these
lifestyle changes? - D (Help the client identify ways that these changes will result in positive
personal outcomes)
A nurse is teaching a group of young adults. Which of the following should the nurse identify
as an expected development task for this age group? - A (Independent moral development)
A middle aged adult client is discussing future plans with the nurse. Which of the following
statements should the nurse identify as an indication that the client is having difficulty
achieving Erikson's developmental task for the age group? - A (We miss our daughter so
much that we are going to move closer to her.)
A nurse is teaching a middle-aged female client about disease prevention and health
maintenance. Which of the following diagnostic tests should the nurse recommend as part of
this client's routine health screening? - C (Eye examination every 2 years)
A nurse is teaching a middle-aged adult client about health promotion and disease prevention.
The nurse should inform the client that which of the following changes could occur? - A
(Decreased estrogen and testosterone production)
A nurse is teaching a newly licensed nurse about pain management in clients [Show Less]