A nurse is reinforcing discharge instructions with a client who has hepatitis A. Which following
statements by the client indicates an understanding of
... [Show More] the teaching?
A. "I will not eat fried foods."
B. "I will abstain from sexual intercourse."
C. "I will refrain from international travel."
D. "I will not order a salad in a restaurant." - Ans-B. "I will abstain from sexual intercourse."
A nurse is caring for a newborn whose mother is positive for the hepatitis B surface antigen. Which of
the following treatments should the infant receive?
A. Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months
B. The hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen
C. Hepatitis B immune goblin and the hepatitis B vaccine within 12 hr of birth
D. The hepatitis B vaccine at 24 hr followed by hepatitis B immune globulin every 12 hr for 3 days - AnsC. Hepatitis B immune goblin and the hepatitis B vaccine within 12 hr of birth
A nurse is assisting in preparing a presentation at a community center about systemic lupus
erythematosus (SLE). The nurse should identify which of the following groups as having the highest risk
for developing this disorder?
A. Asian men
B. Caucasian women
C. Native American men
D. African American women - Ans-D. African American women
A nurse is caring for a client who is HIV-positive and is 1 day postoperative following an appendectomy.
Which of the following actions requires the nurse to wear a gown as personal protective equipment
(PPE)?
A. Talking with the client at the bedside
B. Administering a medication by IV intermittent bolus
C. Changing a wound dressing
D. Administering an IM injection - Ans-C. Changing a wound dressing
A nurse is contributing to the plan of care for a client who has cirrhosis of the liver. Which of the
following interventions should the nurse include in the plan?
A. Implement fall precautions
B. Obtain a weekly weight
C. Initiate a low sodium diet
D. Measure abdominal girth daily
E. Administer enemas to manage constipation - Ans-A. Implement fall precautions
C. Initiate a low sodium diet
D. Measure abdominal girth daily
A nurse is assisting in the care of a client who is receiving a transfusion of packed red blood cells. The
client develops itching and hives. Which of the following actions should the nurse take first?
A. Obtain vital signs
B. Stop the transfusion
C. Notify the registered nurse
D. Administer diphenhydramine - Ans-B. Stop the transfusion
A nurse is preparing a client who has advanced cirrhosis for an abdominal paracentesis. Which of the
actions should the nurse take?
A. Instruct the client to empty his bladder
B. Place the client on his back
C. Assure the client that the procedure is painless
D. Have the client increase fluid intake after the procedure - Ans-A. Instruct the client to empty his
bladder
A nurse is collecting data from a client who has AIDS. When checking the client's mouth, the nurse notes
a white, creamy covering on the tongue and buccal membranes. The nurse should recognize this is a
manifestations of which of the following conditions?
A. Xerostomia
B. Gingivitis
C. Candidiasis
D. Halitosis - Ans-C. Candidiasis
A nurse in a provider's office is collecting data from a client who has systemic lupus erythematosus (SLE)
and takes hydroxychloroquine to reduce skin inflammation. The nurse should identify that which of the
following is an adverse effect of this medication?
A. Mucosal ulcers
B. Blurred vision
C. Alopecia
D. Wrist pain - Ans-B. Blurred vision
A nurse is reinforcing discharge teaching with a client who has AIDS. Which of the following statements
should the nurse make regarding home infection control?
A. Soak sponges used for cleaning in a bleach solution after use
B. Disinfect blood spills with a hydrogen peroxide solution
C. Measure temperature weekly
D. Burn soiled dressings - Ans-A. Soak sponges used for cleaning in a bleach solution after use
A nurse is reinforcing teaching with a client who has HIV and is being discharged to home. Which of the
following instructions should the nurse include in the teaching?
A. Take temperature once a day
B. Wash the armpits and genitals with a gentle cleanser daily
C. Change the litter boxes while wearing gloves
D. Wash dishes in warm water - Ans-A. Take temperature once a day
A nurse is caring for a client who has AIDS-associated dementia and is confused. Which of the following
actions should the nurse take?
A. Explain provided care to the client in detail
B. Apply a bed alarm to the client's bed
C. Ensure that the client's room is well lit at night
D. Discourage the client's family from visiting the client - Ans-B. Apply a bed alarm to the client's bed
A nurse is preparing to administer the hepatitis B vaccine to a client. Which of the following techniques
should the nurse use to locate the detoid muscle?
A. Locate the center of the arm between the elbow and the shoulder
B. Find the center of the anterior aspect of the thigh
C. Locate the middle third of the anterior thigh between the greater trochanter of the femur and the
lateral femoral condyle
D. Place one finger across the acromion process and measure 3 finger breadths below to the midpoint
and center of the lateral aspect of the upper arm - Ans-D. Place one finger across the acromion process
and measure 3 finger breadths below to the midpoint and center of the lateral aspect of the upper arm
A nurse is preparing to administer the measles, mumps, and rubella (MMR) vaccine to a 15-month-old
child. Which of the following findings should the nurse identify as a contraindication for this
immunization?
A. The child has a cough and a temperature of 37.9 (100.2)
B. The child's temperature after receiving a vaccine previously was 39.7 (103.5)
C. The child is currently receiving antibiotics for otitis media
D. The child has a congenital immunodeficiency - Ans-D. The child has a congenital immunodeficiency [Show Less]