A nurse is reviewing safety precautions w/a group of young adults at a community health
fair. Which of the following recommendations should the nurse
... [Show More] include specifically for this
age group? Select all.
A. Install bath rails & grab bars in bathrooms
B. Wear a helmet while skiing
C. Install a carbon monoxide detector
D. Secure firearms in a safe location
E. Remove throw rugs from the home
B, C, D
Rational: A is recommended for older adults and E as well for risk of falls
lOMoARcPSD|6457222
lOMoARcPSD|6457222
A nurse is reviewing the CDC's immunization recommendations w/a young adult client.
Which of the following recommendations should the nurse include in this discussion? Select
all.
A. Human papillomavirus
B. Measles, mumps, rubella
C. Varicella
D. Haemophilus influenzae type b
E. Polio
A, B, C
Rational: D is not for after 18 months of age and polio is also given as a child and not
usually beyond 18 yrs old
A nurse is caring for an 82-yr-old client in the ER who has an oral body temp of 38.3 C (101
F), a pulse rate of 114/min, & a RR of 22/min. He is restless & his skin is warm. Which of the
following are appropriate nursing interventions for this client? Select all.
A. Obtain culture specimens before initiating antimicrobials
B. Restrict the client's oral fluid intake
C. Encourage the client to limit activity & rest
D. Allow the client to shiver to dispel excess heat
E. Assist the client w/oral hygiene frequently
A, C, E
Rational: The nurse should prevent shivering & encourage the client to increase fluids. Oral
hygiene helps prevent cracking of dry mucous membranes of the mouth 1
A nurse is caring for a client diagnosed w/severe acute respiratory syndrome (SARS). The
nurse is aware that health care professionals are required to report communicable &
infectious diseases. Which of the following illustrate the rationale for reporting? Select all.
A. Planning & evaluating control & prevention strategies
B. Determining public health priorities
C. Ensuring proper medical treatment
D. Identifying endemic disease
E. Monitoring for common-source outbreaks A, B, C, E
Rational: Not D because endemic disease is already prevalent within a population, so
reporting is not necessary
1. A confused client with carbon monoxide poisoning experiences dizziness when
ambulating to the bathroom. The nurse should:
A. Put all four side rails up on the bed
B. Ask the unlicensed assistive personnel to place restraints on the client’s upper
extremities
C. Request that the client’s roommate put the call light on when the client is
attempting to get out of bed
D. Check on the client at regular intervals to ascertain the need to use the
bathrooms
2. The nurse should use which type of precautions for a client being admitted to the
hospital with suspected tuberculosis?
A. Hand hygiene
B. Contact precautions
C. Droplet precautions
D. Airborne precautions
3. The nurse is teaching a client with stomatitis about mouth care. Which instruction is
most appropriate?
A. Drink hot tea at frequent intervals
B. Gargle with antiseptic mouthwash
C. Use an electric toothbrush
D. Eat a soft, bland diet
4. A client with cancer of the stomach had a total gastrectomy 2 days earlier. Which
indicates the client is ready to try a liquid diet? The client:
A. Is hungry
B. Has not requested pain medication for 8 hours
C. Has frequent bowel sounds
D. Has had a bowel movement
5. A client has returned from surgery during which the jaws were wired as treatment for a
fractured mandible. The client is in stable condition. The nurse in instructing the
unlicensed assistive personnel (UAP) on how to properly position the client. Which
instructions about positioning would be appropriate for the nurse to give to the UAP?
A. Keep the client in a side-lying position with the head slightly elevated
B. Do not reposition the client without the assistance of a registered nurse
C. The client can assume any position that is comfortable
D. Keep the client’s head elevated on two pillows at all times
6. The nurse’s best explanation for why the severely neutropenic client is placed in
reverse isolation is that reverse isolation helps prevent the spread of organisms:
A. To the client from sources outside the client’s environment
B. From the client to healthcare personnel, visitors and other clients
C. By using special techniques to handle the client’s linens and personal items
D. By using special techniques to dispose of contaminated materials
A nurse....................................................................................................................................................................................CONTINUED [Show Less]