Immune

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The infection control nurse screens for cobra 19 an individuals to enter the healthcare facility. And which question does the nurse ask?

"Are you experiencing fever, cold, cough, and other related symptoms?" "Have you been exposed to a person diagnosed with C19?" "Have you recently traveled to a location known to have a high number of C19 cases?"

The nurse caring for clients in the emergency department practices which interventions common between contact, droplet, and airborne precautions?

"wearing appropriate personal protective equipment" "performing hand hygiene"

The nurses caring for a client diagnosed with HIV who is prescribed zidovudine. Which findings alert the nurse to adverse affects of this medication?

200 mL output of emesis Hemoglobin 7.9 Arterial pH 7.28 Bilateral extremity weakness

The nurse manager is working to identify and decreased infection in the unit. Which client is at a high risk of contracting a superbug?

A client who has a weakened immune system A client who took antibiotics for a long period A client who had recent surgery A client he was hospitalized with a urinary catheter and an IV line

The nurse is caring for for client. Which client is the nurse monitor for possible seizures?

A client whose face has been twitching and has a serum sodium level of 115 A client with palpitations reporting a last alcohol intake 24 hours ago A client with serum calcium levels of 5.5 The client reporting neck pain who has a temperature of 103.2°F

The nurses preparing to administer trimethoprim/sulfamethoxazole. Which client is more likely to receive this medication?

A client with A UTI A client with pneumocytosis pneumonia

The nurse is administering morning medications. Which client requires IV vancomycin administration?

A client with MRSA A client with a C diff infection

The nurse discuss his treatment options with the client diagnosed with latent tuberculosis and liver cirrhosis. Which treatment option does the nurse cautioned the client?

A combination of rifampin and pyrazinamide

The nurse evaluates the CD4 cell count from a client with and HIV diagnosis who is receiving antiretrovirals medication therapy. The current CD4 cell count is 634 cells/mm3, and the CD for cell count six months ago was 158 cells/mm3. Which is the best interpretation of these results?

A positive response to ART is present

The nurse has donned the right sterile gloves but not the left club and the fingers are not fitting properly. which is the correct procedure for the nurse to address the issue?

Adjust the fingers of each hand after donning both gloves

The nurse is caring for a client diagnosed with C19. When the nurses removing the PPE, which action by the nurses correct?

After removing gloves, pull the neck and shoulders, then turn it inside out

The infusion nurse is preparing to access a clients port-a-cath. Which step during the opening of the sterile kit by the nurse requires immediate intervention?

After removing the plastic covering, the nurse removes and discards the folded sterile paper wrapper. After unfolding the inner sterile paper wrapper the nurse places the contents on the clients bed near their arm After exposing the sterile contents inside the unfolded in a wrapper the nurse leans over to inspect the equipment After unfolding the sterile wrapper, the nurse moves the kit was on gloved hands by holding the content in the middle

The nurse is caring for a client with reports of productive cough for two days and a history of travel outside the country. During the assessment, the nurse notes a temperature of 102°F. Which precaution does the nurse observe?

Airborne

The nurse suctions a client diagnosed with a COVID-19 infection. Which transmission precaution does the nurse follow?

Airborne Precautions

The nurse is caring for for clients. Which client is most likely to contract a vancomycin-resistant enterococci infection?

An older adult client who is immunocompromised

The nurse has a prescription to place a client and investor strength. For which client designers know this prescription would suit?

An orderly client who is confused And wants to get to work

The nurses caring for a client who is pregnant suspected of influenza. The client asks if she can take antibiotics for this disease. Which response by the nurse is best?

Antibiotics do not cure influenza, the vaccination is an effective preventive You need to take antivirals like neuraminidase inhibitors

The nurse educator client with the new diagnosis of HIV. Which statement by the nurse regarding this disease and the antiretrovirals therapy is best?

Antiretrovirals treatment can reduce the HIV and the body to undetectable levels

The client is experiencing alcohol and PCP intoxication. The client is experiencing delirium, Paranoia, hallucinations, extreme agitation, and aggressive behavior. Which immediate action does the nurse implement?

Apply a physical and/or administer a chemical restraint

The nurses caring for a client who has recently experienced a severe traumatic brain injury. The client is immobilized and has significantly impaired sensation and function of the lower extremities. Which nursing measures are most effective in preventing the client from developing pressure ulcers?

Apply float boots to the clients feet Use a draw sheet to move the client in bed Use a wedge or sufficient pillows on the bed to maintain position after repositioning

The nurse instructed client about administration of antiviral medications and early treatment of influenza. Which instruction by the nurses correct?

Begin with them 48 hours of disease exposure Oseltamivir can be taken continuously for up to 42 days

The client is diagnosed with a gram-negative meningitis infection. Which of effective drug is the nurse most likely to administer to this client?

Cefotaxime

The nurse is caring for a client with a MRSA infection. Which drug is the best choice to treat the infection?

Ceftaroline

Client presents with the complaint of pain while urinating. During the interview the client reports and allergy to ampicillin. The client is diagnosed with an urinary tract infection. Which order by that provider requires follow-up by the nurse?

Cephalexin

The nurses applied non-behavioral wrist restraints and mitten restraints to an older adult client who was disoriented and is attempting to pull out the IV. Which action by the nurse is the most important to ensure that the restraints do not hinder circulation?

Check the circulatory status of the extremities Document alternative measures and before applying restraints Explain the necessity of the restraints of the family

The nurse is caring for a client diagnosed with HIV and hemophilia taking lopinavir. Which intervention is included in the care plan?

Check the clients glucose periodically Evaluate for hyperlipidemia Monitor for increased risk of bleeding

Amoxicillin/clavulanate is ordered for client. The client states having amoxicillin at home and asked the nurses the amoxicillin with clavulanate is necessary. Which is the best answer by the nurse?

Clavulanate helps amoxicillin be more effective against bacterial resistance, so there's more chances of killing infection

The client is started on antibiotics for a B. fragilis infection. Which antibiotic choice doesn't nurse question based on the culture and sensitivity report below?

Clindamycin

The nurse is administering cefepime to a client with nosocomial pneumonia. Which finding alerts for nurse to monitor the client more closely for complications?

Con current therapy with warfarin

The nurse administers alive attenuated influenza vaccine, quadrivalent to a client. Which action by the nurses the best?

Consider another age-appropriate vaccine of nasal congestion impedes the delivery

The nurses educating the client diagnosed with HIV prescribed anti-retro viral medications. Which teaching instruction by the nurses included?

Consistency is necessary for effective treatment

The nurse assesses a client with an open, purulent, erythematous leg wound. The client's temperature is 101°F. Which precaution does the nurse implement?

Contact

The nurse is caring for a client with a wound infection after hip replacement surgery he was receiving IV amoxicillin. The nurse receives the wound culture and sensitivity report and finds that the bacteria are identified as M RSA. Which is the most important action for the nurse to take?

Contact HCP to discuss changing the antibiotic

The client with A urinary tract infection is taking amoxicillin as prescribed. Results of the urine culture and sensitivity report revealed that the cost the organism is E. coli which is sensitive to nitrofurantoin and resistant to amoxicillin. Which is the most important action by the nurse for this client?

Contact the healthcare provider and discuss change in antibiotic to nitrofurantoin

A client is being treated for a UTI using aztreonam. The culture and sensitivity report demonstrates the presence of Gram positive bacteria. Which of the nurses next intervention?

Contact the healthcare provider discuss changing the medication

A client is diagnosed with acute pyelonephritis and is being treated with IV vancomycin. The nurse evaluates the urine culture and sensitivity report and finds that the identified bacteria are vancomycin resistant enterococci. Which is the next action by the nurse?

Discontinue HCP discontinue vancomycin administration and start linezolid therapy.

10 minutes after administering a dose of IV vancomycin to a client, The client develops and inflamed, red, itchy rash on the face, neck and upper torso. Which is the priority follow-up nursing intervention?

Discontinue the IV therapy and contact the healthcare provider

The nurses caring for a client with a history of dementia who was at a high risk for falls and continues to attempt to get out of bed. Which action does the nurse implement before applying physical restraints?

Distract the client with television, music, and books Reduce noise, dim lighting, and reorient frequently Document at the bedside to monitor the client

A client with a diagnosis of a UTI has been prescribed cephalexin. The medical record reveals a history of heart disease and a penicillin allergy. Which nursing action is indicated?

Do not administer the driving contact the healthcare provider

Client discharged after completing a course of IV cefotetan for a pelvic infection. Which instruction does the nurse include in the discharge teaching?

Do not drink any alcohol for the next 72 hours

The nurse is caring for an older dog client diagnosis of dementia and needs to apply wrist restraints to prevent pulling out the nasogastric tube. Which nursing action is important to ensure the safety and well-being of the client?

Educate the client and the family about the necessity for the restraints Preferred range of motion exercises frequently Check the pulse rate, cap refill, skin color and temperature

Nurses caring for a client diagnosed with HIV prescribed tenofovir. Which intervention is included in the care plan?

Evaluate blood urea nitrogen and creatinine

The client with pneumonia is treated with IV amoxicillin. Which symptom alert center the client has developed a C diff infection?

Frequent foul smelling diarrhea

A client has an indwelling urinary catheter and a Graham negative E. coli urinary tract infection. Which action does the nurse implement want treating this client with the gentamycin?

Give the medication IV, because does not well absorbed by the G.I. tract

The nurse is caring for a client diagnosed with COVID 19. In which correct order does the nurse don the personal protective equipment before entering the room?

Gown, mask, goggles or face shield, gloves

Which description accurately portrays the pathophysiology of an HIV infection?

HIV and fax CD4 cells in the bodies immune system When HIV attaches to the T helper cells, if uses within the controls their DNA

The nurses caring for a client newly diagnosed with AIDS. The client asked the nurse how the disease affects them. Which response by the nurses best?

HIV is a virus that attacks the bodies immune system

The charge nurse is teaching this surgical unit staff nurses about the importance of hand hygiene. Which statement by the staff nurse demonstrates further instruction about hand hygiene is needed?

Handwashing affects the rate of post operative infections, but not hospital acquired infections.

The nurse assessed as a pediatric client and knows the maculopapular rash on the face, neck, and trunk. Which questions will the nurse asked the clients mother to help associate with these findings?

Has the client traveled internationally? Did the client experienced any iron rotation her cough before the rash? As a a client had a high fever accompanying the rash?

The nurse violates a client before ministering the flu vaccine. For which client does the advisory committee on immunization practices recommend getting a routine annual vaccination?

Healthcare team member Client diagnosed with COPD Caregiver a client diagnosed with severe asthma A six-year-old and first grade

The nurse at Valley with a client who is diagnosed with HIV, in order to assess the effectiveness of ART. Which outcome to the nurse expected the client is taking ART as prescribed?

Healthy immune system

The nurse assessing understanding of antiretrovirals therapy of the client diagnosed with HIV. Which statement by the client indicates a need for further instruction?

I can breast feed my baby while I take this medication

The nurse educates a client diagnosis of blatant tuberculosis about drug drug interactions of rifampin. Which statement by the client indicates effective teaching?

I need to consult with my healthcare provider if I take warfarin with rifampin I need another method of contraception when I stop my oral contraceptives

The nurse reviews the importance of hand hygiene with an unlicensed assistive personnel. Which statements by the UAP, indicates correct understanding of appropriate timing for hand hygiene to keep client safe from infection exposure?

I should perform hand hygiene before entering a clients room I should perform hand hygiene before touching the client I should perform hand hygiene before any procedure

Hey young client is diagnosed with community acquired MRSA. When taking the clients medical history, which statement by the client alert centers to possible complications?

I take prednisone everyday

Client reports taking nelfinavir for a diagnoses of HIV. In Which client statement is concerning to the nurse?

I want on vacation I completely forgot about my pills Fracturing my ankle really interrupted my work schedule I'm scared he sometimes because I feel nauseous

The nurse assesses a client administered with a live attenuated influenza virus. Which statement by the client prompts and nursing intervention?

I was prescribed oseltamivir this shot I will start taking zanamivir once I arrived home I should take peramivir once I am done with this vaccine

The nurse is educating a client diagnosed with HIV about the prescribed ART regimen, including nucleoside reverse transcriptase inhibitors. Which statement indicates the clients understanding of the instructions?

I will set the alarm to remind me about my medications

The nurse evaluate clients understanding of instructions for the treatment regimen of isoniazid for latent tuberculosis. Which statement by the client demonstrates effective teaching?

I will take this drug once today for nine months

Cefazolin this order for a client as a prophylactic antibiotic before surgery. Which statement by the client causing the nurse to hold the dose?

I'm allergic to penicillin

A client is being treated with IV linezolid. The client states feeling really tired and that "on old scratch on the knee keeps opening up and bleeding." Which is the most important intervention by the nurse?

Immediately track the clients CBC

The nurse prepares to administer a vaccine to a client. The client asks how the vaccine helps them. Which response by the nurses best?

Initial anti-bodies developed within three days after vaccine administration Antibodies are essential to how the immune system that Antibodies recognize and help neutralize the virus that invaded the bloodstream

A nurse is caring for a client diagnosed with COVID-19. How does the nurse handle the N95 respirator upon exiting the clients room?

Keep the respirator so they can reuse it unless its soiled or damaged.

The nurse is using a gate belt to assist with ambulation of a client who is diagnosed with Parkinson's disease. Which technique is the nurse used to keep the client safe during the procedure?

Keeps an underhand grip on the gate belt in the center of the clients factoring ambulation

Due to a shortage of nurses on the dialysis unit, the dialysis nurses hurriedly opening the disposable sterile dialysis kit for the clients dialysis treatment. Which actions by the nurse or considered a violation of the sterile field?

Left the sterile field unattended to care for another client with the possible thrombosis in their arteriovenous shunt Placed a pair of nonsterile latex gloves on to to the sterile field to use later

The nurse educator client diagnosed with HIV for adverse effects associated with the HIV drug enfuvirtde. Which instruction will the nurse provides the client?

Let us know if the redness occurs of the injection site If you develop a cough and fever's, give us a call Immediately report any hives or swelling

The nurses caring for an adult client in the ICU unit who experiences a C-5 traumatic spinal cord injury resulting in the diagnosis of paraplegia. The client has a high of 5'6", a weight of 140 pounds, and a BMI of 21. Which type of equipment does the nurse correctly utilize for the clients care?

Lift

The nurse is caring for a client diagnosed with COVID 19. It's nursing actions are priority to prevent the transmission of COVID 19?

Limiting socialization and visitation Screening all individuals entering the facility Isolating COVID 19 positive clients as soon as possible Wearing the appropriate PPE by healthcare personnel

The nurses caring for a client who is diagnosed with MRSA infection. Which factor contributes to the clients risk of acquiring the MRSA infection?

Living in a long-term care facility Being 89 years of age Having a diagnosis of cancer and receiving chemotherapy Having recent tumor resection surgery

Which are the three main parts of the lymphatic system?

Lymphatics, lymph, and lymph nodes

The public health nurse reports a measles outbreak within the community shelter. Client states the nurse, "I am concerned about the potential transmission to my newborn." Which response by the nurse is best?

Measles is spread through droplets of a cough or a sneeze could potentially transmit the disease

Which mechanisms assist in transporting lymphs throughout the body?

Milking action of skeletal muscles Pressure changes Smooth muscles contractions and the walls of the lymphatics Valves to prevent backflow

The nurses reviewing the laboratory results of a client who is receiving sulfonamide and notices that the client is experiencing agranulocytosis. Which vital intervention does the nurse include in this clients plan of care?

Monitor the client for signs of sepsis

The nurses caring for a client in a postictal state. The clients last seizure episode was three hours ago, and the vital signs are currently stable. What is the best intervention by the nurse?

Monitor the clients vital signs

Nurses caring for a client receiving vancomycin for MRSA. After reviewing the list of drugs but The client is taking concurrently, which drug interaction is the nurse concerned about?

NSAID's Aminoglycosides Cyclosporine

Client client presents to The primary care clinic with symptoms of a fever, chills, and body aches and as prescribed oseltamivir. The nurse understands what information is accurate about this medication?

Nausea and vomiting are common adverse effects

The nurse is providing instructions about potential adverse effects for a client who is taking isoniazid for latent tuberculosis. Which adverse effects should the nurse described the client?

Peripheral neuropathy Hepatotoxicity Optic neuritis Anemia

A client is disorientated after the surgical placement of a gastric tube. Which activity does the nurse implement first prevent the client from pulling out the gastric tube?

Placing of domino binder over the gastric tube

The client who has no known infection will undergo gastrointestinal surgery. Which medication does the nurse administer to this client?

Prophylactic antibiotics therapy before surgery

During the nursing rounds and nurse finds a client seizing on the bathroom floor. The clients Walker has fallen on top of the client, and a lot of secretions are already pooling at the side of the mouth. Which intervention does the nurse implement first?

Protect the clients airway

The nurses caring for a client who is in wrist restraints. Love the nurses preparing to administer the clients medication, the client begins vomiting. If the restraints are applied properly, which immediate action by the nurses correct?

Pull the tales of the restraint knot to release the entire knot

The nurse dons PPE before assisting client undergoing a cesarean section. Which action by the nurse is correct?

Puts on sterile gloves last among all PPE's

The nurse is caring for a client suspected of COVID-19 infection. Which nursing action follows the principles of airborne precautions when caring for the client?

Putting on a fit-tested N95 before room entry

The nurses assessing the wound of a client who was on a prolonged course of IV antibiotics. Which symptom alerts the nurse to the possible development of MRSA infection?

Redness around the wound Swelling and tenderness around the wound Purulent drainage from the wound

The nurse is evaluating a culture and sensitivity report a client who has latent multi drug resistant tuberculosis. Which finding on the report does the nurse dissipated with this type of infection?

Resistance to rifampin Resistance to isoniazid

The nurse is caring for a client diagnosed with Covid 19. During doffing, the nurse accidentally touches the front part of the goggles. Which action is best for the nurse to implement?

Sanitize the hands before continuing with the doffing

The nurses using an assessment tool to assess the clients risk for pressure injury. Which factors does the nurse associate with determining a clients risk of developing a pressure injury?

Sensory perception Mobility Friction and sheer

Caring for an order.client who is a mobile. During the shift, the nurse performs physical tasks involving stooping, Carrying, pushing, and pulling. Which techniques does the nurse use to minimize the risk of injury?

Standing with feet 10 inches apart with 1 foot slightly ahead of the other in lowering with knees flex stoop Keeping the upper body straight and not bending at the waist when caring a heavy object Carrying heavy objects close to the body Pulling an object by grasping it with fixed elbows and leaning away by shifting the weight from the front leg to the back

Client reports chills, joint pain, and overall malaise after receiving sulfonamide. When assessing the client, the nurse notices purpleish blisters all over the client skin. Which competition does the nurse suspect

Steven Johnson syndrome

The client is receiving an infusion of piperacillin/tazobactam 2g/0.25g over 30 minutes. 10 minutes into the infusion the nurse noticed the client skin is puffy, cool, and pale out the IV site. Which is the next intervention by the nurse?

Stocking fusion, remove the IV, and start a new ID on a different site

The client was being treated with IV aztreonam is reporting pain at the IV injection site. The nurse assesses the IV site and notices swelling and erythema along the course of the vein, hardening of the vein, and warm to the touch. Which is the most important action for the nurse?

Stopped in fusion, remove the IV line, restart the IV infusion in a new vein

The nurse is caring for a client diagnosed with a UTI. Which class of antibiotic is most likely prescribe this client?

Sulfonamides such as trimethoprim/sulfamethoxazole

The experienced nurse teachers new grad nurses white drugs such as antibiotics you've healthy cells unharmed and only kill bacteria, unlike chemotherapy agents. Which is the correct teaching by the nurse?

The Antibiotics work by selective toxicity

The nursing ministers of flu vaccine to a client in the healthcare clinic. The client asks about the process of the flu vaccine production in the United States. Which response by the nurses best?

The FDA makes the final decision about which strands to use in the vaccine

The UAP is providing care to a client who developed a C diff infection following a long course of antibiotics. Which intervention by the UAP causes the nurse to intervene?

The U AP cleans the hands with an alcoholbase sanitizer after providing hygiene to the client

The nurse oversees care for four clients diagnosed with HIV receiving antiretroviral therapy. Which client does the nurse identified as having the least concern for developing an opportunistic infection?

The client here receives viral load testing six months after starting treatment

The nurse is caring for a client who has wrist restraints. Which essential information does the nurse documents?

The client is exhibiting aggressive and violent behavior necessitating restraints The airway is patent and the respiratory rate is 18 The skin under the restraint is in tact without redness or discoloration Range of motion exercises to the upper extremities were performed

The nurse evaluates clients for risk factors in acquiring implement that we're developing complications from influenza. Which client does the nurse determine is at increased risk?

The client who is 80 years old The client undergoing chemotherapy for cancer treatment The adult client with comorbidity of asthma The client living in a long-term care facility

The nurse is about to insert an indwelling urinary catheter for a client who has urinary retention following surgery. What does the nurse inspect before using the sterile catheterization tray?

The expiration date of the kit Soiling or evidence of wetness Tearing up package contents Intact sterile tape

The nurse is caring for a client recently had spinal fusion surgery. The nurse preparing the client for a bed bath explaining how a log rolling technique will be used during the procedure. Which statement by the nurse is correct?

The log rolling technique helps keep your spine and alignment during repositioning I always ask for another team members assistance because it's safer to use the technique with help

The clinical instructor as of is observing a right-handed new grad nurse donning sterile gloves. Which set by the procedure demonstrates correct sterile technique by the new nurse?

The new nurse inserts the glove the right hand into the fold of the left club to lift the glove and insert the left-hand

The charge nurse is observing a graduate nurse performing a dressing change for a client. Which actions brother graduate require follow up by the charge nurse?

The nurse applied soap, wet hands with water, scrub hands, and then rinsed hands with water. The nurse hand wash with soap and water wearing a wedding ring, giving the particular attention describing the ring. The nurse rubbed wet hands with soap together for 10 seconds before rinsing. Nurse washed hands with soap and water, rinsed, and turned off the faucet with the clean fingers.

The operating room nurse is handing over a dressing to the surgeon. Which action by the nurse demonstrates proper sterile technique?

The nurse opens the package and holds the package open while exposing the sterile item to handover

An experienced nurse is observing a new graduate nurse who is hanging in vancomycin infusion for a client diagnosed with C diff. Which action by the new nurse requires the experience nurses intervention?

The nurse sets the infusion rate over 30 minutes

The newly hired nurse caring for a client diagnosed with Covid 19 needs personal protective equipment. From which colleague who offered will the nurse except?

The nurse who offered the same size of a N95 respirator.

The nurse is reviewing the blood culture and sensitivity report for client. Which information reveals to the nurse that treatment for this organism maybe difficult?

The organism is resistant to most antibiotics The organism is a gram-negative bacteria The organism is a common hospital acquired bacteria

The nurse is caring for a client diagnosed with C19 removes there in N95 respirator. Which action does the nurse implement?

The respirator is removed outside the clients room The respirator is removed by touching only the ties The respirator is remove the last after the other PPE

The nurse is caring for a client diagnosed with pulmonary tuberculosis. The spouse's request to visit the client. Which instruction does the nurse provide?

The spouse must wear an N95 respirator and the client a surgical mask

A client who has a diagnosis of severe acne it started on a new prescription of tetracycline. The nurse performed teaching on the medication. Which statement by the client requires further teaching?

There are a few side effects for this medication unlike the topical cream I've used before.

Which statement correctly describes lymphatic vessels?

These vessels can route pathogens and cancer cells throughout the body

The nurse is providing education about the medication ritonavir to a client diagnosed with HIV. Which does the nurse include in the education?

They're among the most effective antiviral drugs Combination of nucleoside reverse transcriptase inhibitors is prescribed Resistance to them can develop

The nurse assesses that a client who has administered an initial dose of penicillin V has new onset hives along with wheezing, nausea, and a rapid pulse. Which intervention is required by the nurse?

This is a life-threatening anaphylaxis reaction that require stopping the driving and ministering epinephrine

The nurses caring for a client to is in the ICU answer dated about ventilator dependent. This skin assessment performed by The nurse reveals a firm, non-blanchable, wound with purple black discoloration in the coccyx area. Which statement by the nurse to the oncoming nurse at shift change accurately describes the staging of this pressure injury?

This pressure area I cannot be stays there is necrotic tissue or eschar covering the wound, it will need to be removed.

The nurse evaluation understanding of the treatment of a client newly diagnosed with latent tuberculosis. Which statement by the client demonstrates effective teaching?

Treatment prevents the development of active symptoms

The nurses caring for a client diagnosed with pertussis. Which nursing action does the nurse implement? Select all that apply

Using alcohol to clean the hands before going into an coming out of the clients room. Making sure the eyes, nose, and mouth are fully covered before going into the clients room. Taking off the PPE before leaving the clients room. Using disposable medical equipment such as blood pressure cuff each client

The nurse evaluates the stored influenza vaccines to be administered two clients in a health-care clinic. Which vaccine does the nurse use?

Vaccines refrigerated at 2.2°C

The nurse evaluate the client understanding of the instructions about the influenza vaccine. Which statement demonstrates the client understanding?

Vaccines were grown and eggs but now viruses are also grown and cells

Following the administration of an enema to a client the nurse says visibly soiled gloves. Which action by the nurse represents an appropriate hand hygiene following the procedure?

Washing hands with soap and water for 20 seconds

The nurse assesses the client diagnosed with HIV taking antiretrovirals treatment that has been ineffective. Which question is most important for the nurse to ask?

What other medications are you taking? Have you had any issues with taking the medication as prescribed? Have you ever been prescribed any other ART?

The UAP is transferring a client from bed to wheelchair. The client has diagnosis stroke and has weakness in the right upper and lower extremities. Which action by the UAP during this procedure needs correction?

While the client is starting to stand do you UAPs legs are stray and body bent towards the client The UAP has both feet facing The client when the client begins to stand The UAP instructor client to use the right leg to stand and pivot

Anderson if you and your client US symptoms of influenza. What time should the nurse consider most appropriate to start treatment with oseltamivir?

Within 48 hours of symptom onset

The nurses caring for a pediatric client was diagnosed with diphtheria. The parents asked the nurse, "how could my child get this infection?" Which response is best for the nurse?

Your child's infection was spread through coughing or sneezing, contaminated household items, and contaminated personal items."

A client who has an indwelling urinary catheter is being treated with ciprofloxacin for a urinary tract infection. Based on the new information revealed by the following urine culture and activity report which medication literacy minister to the client?

trimethoprim/sulfamethoxazole


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