MED SURG 324.
1.) A nurse is admitting a client who has manifestations that suggest tuberculosis. Which of the following actions is the nurse’s
... [Show More] priority?
● Initiate airborne precaution
● administer anti microbial therapy
● tell the client that the infection will be communicable for two to three weeks from the start of medication therapy
● teach the client about the manifestation of tuberculosis
Rationale: The nurse should apply the safety and risk-reduction priority-setting framework, which assigns priority to the factor or situation posing the greatest safety risk to the client
2.) A female client who has recurrent cystitis asks the nurse about preventing future episodes. For which of the following client statements should the nurse provide further teaching?
● I drink at least 2 L of fluid per day
● I prefer taking tub baths to showering
● I urinate before and after sexual relations
● I wipe from front to back after urination
Rationale: Cystitis is an inflammation of the bladder lining that commonly occurs with a urinary tract infection (UTI). Women who are at risk for UTIs should avoid tub baths because they increase the risk of infection. The nurse should recommend taking showers instead of tub baths.
3.) A nurse is teaching a client who has iron-deficiency anemia. The nurse should encourage the client to increase consumption of which of the following foods?
● Beef liver
● oranges
● turnips
● whole milk Rationale: Beef liver is rich in iron
4.) A nurse is planning care for a client during a sickle cell crisis. Which of the following interventions should the nurse include in the client's plan of care?
● Maintain the clients knees and hips in a flexed position
● apply cold compresses to painful joints
● withhold opioids until the crisis is resolved
● encourage increased fluid intake
Rationale: The nurse should encourage increased fluid intake to promote hydration because dehydration increases the viscosity of the blood, which can aggravate sickling and client discomfort. [Show Less]