NGN HESI EXIT TEST BANK EXAM QUESTIONS AND ANSWERS BEST GRADED A+ GUARANTEED SUCCESS LATEST UPDATE 2024 GRADED A+
What action should the school nurse
... [Show More] implement to provide secondary prevention to a school-age children?
A.Collaborate with a science teacher to prepare a health lesson
B.Prepare a presentation on how to prevent the spread of lice
C.Initiate a hearing and vision screening program for first-graders
D.Observe a person with type 1 diabetes self-administer a dose of insulin
E.Rationale: Community care occurs at primary, secondary, and tertiary levels of prevention. Primary prevention involves interventions to reduce the incidence of disease. Secondary prevention includes screening programs to detect disease. Tertiary prevention provides treatment directed toward clinically apparent disease. Secondary prevention focuses on screaming children for a specific disease processes such as hearing and vision screening. The other options are not examples of secondary prevention.
While assisting a client who recently had a hip replacement into a bed pan, the nurse notices that there is a small amount of bloody drainage on the surgical dressing, the client’s skin is warm to the touch, and there is a strong odor from the urine. Which action should the nurse take?
F.Obtain a urine sample from the bed pan
G.Remove dressing and assess surgical site
H.Insert an indwelling urinary catheter
E. Rationale: The strong odor from the urine and skin that is warm to the touch may indicate that the client has a urinary tract infection. Assessing the client’s temperature provides objective information regarding infection that can be reported to the healthcare provider. Urine should be obtained via a clean catch, not the bed pan where it has been contaminated. The drainage on the dressing is normal and does not require direct conservation at this time. An indwelling catheter should be avoided if possible because it increases the risk of infection.
While making rounds, the charge nurse notices that a young adult client with asthma who was admitted yesterday is sitting on the side of the bed and leaning over the bed-side-table. The client is currently receiving at 2 litters/minute via nasal cannula. The client is wheezing and is using pursed-lip breathing. Which intervention should the nurse implement?
I.Assist the client to lie back in bed
Call for an Ambu resuscita [Show Less]