Fundamentals Midterm

A nurse is teaching a client who is using a PCA pump to deliver morphine for pain management. Which of the following statements should the nurse identify as an indication that the client understands the instructions? A. "I'll limit pushing the button so I don't get an overdose." B. "If I push the button and still have pain after 2 minutes, I'll push it again." C. "I'll ask my niece to push the button when I am sleeping." D. "I can still use my transcutaneous electrical nerve stimulation unit while I'm pushing the PCA button."

"I can still use my transcutaneous electrical nerve stimulation unit while I'm pushing the PCA button."

A nurse is teaching a client who is starting patient-controlled analgesia (PCA) following a procedure. Which of the following client statements indicated an understanding of the teaching? A. "This method of medication can increase the chances of overdose." B. "I should self-administer the medication 1 hour before walking." C. "I should expect to receive smaller doses when I am sleeping." D. "This method works by keeping my opioid levels steady."

"This method works by keeping my opioid levels steady."

A nurse is admitting a client who has measles. Which of the following types of transmission precautions should the nurse initiate? A. Airborne B. Droplet C. Contact D. Protective environment

Airborne

A nurse is admitting a client who has tuberculosis. In addition to standard precautions, which of the following transmission-based precautions should the nurse add to the client's plan of care? A. Protective B. Airborne C. Droplet D. Contact

Airborne

A nurse is caring for a client who is postoperative following a total knee arthroplasty and has been prescribed a continuous passive motion (CPM) machine and PCA. The client tells the nurse, "I am in so much pain." Which of the following actions should the nurse take first? A. Remind the client to push the button for the PCA device B. Discuss activities the client may use to distract from the pain C. Ask the client to describe the characteristics of the pain D. Pause the CPM machine briefly to apply a cold pack to the client's knee

Ask the client to describe the characteristics of the pain

A nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool. Which of the following PPE items should the nurse don prior to providing client care? (Select all that apply.) A. Gown B. Gloves C. Mask D. Hair cover E. Goggles

Gown, gloves

A nurse is caring for a client who has a MRSA infection. Which of the following precautions should the nurse implement? A. Place the client in a semi-private room B. Wear a mask when providing care C. Wear a gown when in the clien'ts room D. Dispose of all bed linens used by the client

Wear a gown when in the client's room

A nurse is caring for a client who has a C. diff infection and is in contact isolation. Which of the following actions should the nurse take? A. Wear gloves when changing the client's gown. B. Use alcohol-based sanitizer to cleanse the hands. C. Wear a mask when assisting the client with his meal tray. D. Place the client on complete bed rest.

Wear gloves when changing the client's gown