A charge nurse receives notification of the admission of a client who is coughing
frequently and whose sputum is pink, frothy, and copious. The client
... [Show More] has a history
of night sweats, anorexia, and weight loss. Which of the following actions should
the nurse take? SATA.
A. Assign the client to a private room with negative-pressure airflow.
B. Add contact precautions to the client's plan of care.
C. Wear an N95 respirator when entering the client's room.
D. Ensure the client's environment provides - D. CONT. 4 exchanges of fresh air
per minute.
E. Institute protective environment precautions as soon as the client arrives on the
unit.
ANS:
A. Assign the client to a private room with negative-pressure airflow.
C. Wear an N95 respirator when entering the client's room.
A nurse is admitting a client who has manifestations that suggest tuberculosis.
Which of the following actions is the nurse's priority?
A. Initiate airborne precautions
B. Administer antimicrobial therapy
C. Tell the client that the infection will be communicable for 2-3 weeks from the
start of medication therapyD. Teach the client about the manifestations of tuberculosis - A. Initiate airborne
precautions
A nurse is checking laboratory values to determine if a client with diabetes mellitus
is adhering to the treatment plan. Which of the following tests should the nurse use
to make this determination?
A. Glycosylated hemoglobin levels
B. Urine sugar and acetone levels
C. Glucose tolerance test
D. Fasting serum glucose - A. Glycosylated hemoglobin levels
Checking glycosylated hemoglobin levels (HbA1c) is an accurate method of
determining if the client is routinely compliant.
A nurse is planning a community health screening for a group of clients who are at
risk for type 2 diabetes mellitus. Which of the following clients should the nurse
include in the screening?
A. Men who smoke
B. Men and women who are obese
C. Women who have hepatitis
D. Men and women who consume high-protein and low-carbohydrate foods - B.
Men and women who are obese
A nurse is planning care for a client who has chronic obstructive pulmonary
disease (COPD) and is malnourished. Which of the following recommendations to
promote nutritional intake should the nurse include in the plan?A. Eat high-calorie foods first
B. Increase intake of water at meal times
C. Perform active range-of-motion exercises before meals
D. Keep saltine crackers nearby for snacking - A. Eat high-calorie foods first
Clients who have COPD often experience early satiety.
A nurse is planning dietary teaching for a client who has diabetes mellitus. Which
of the following actions should the nurse plan to take first?
A. Obtain sample menus from the dietitian to give to the client.
B. Ask the client to identify the types of foods she prefers
C. Identify the range of the client's blood glucose level
D. Discuss long-term complications that can result form non-adherence to the
dietary plan - B. Ask the client to identify the types of foods she prefers [Show Less]