NUR 251 Final
What are the initial symptoms that you will see with herpes simplex 2? a. Flu like symptoms b. HIV C. AIDS
A. flu like symptoms
When do you inject lispro for a type 1 diabetic? a. A nurse is preparing to administer lispro insulin to a client who is type one diabetic. Which of the following actions should the nurse take? i. Assessed for hypoglycemia 4 hours after the insulin injection. ii. Inject the insulin 15 minutes before a meal. iii. Monitor for polyuria. iv. Administer a short acting insulin.
2. 15 minutes
The patient is immunosuppression what precaution should the nurse take? a. Not allow visitors. b. Frequent hand hygiene. c. do the griddy
A abd B
A nurse is caring for a client for 4 hours post op following a kidney biopsy. Which of the following interventions should the nurse take? (Select all that apply) a. monitor for hematuria. b. check for flank pain. c. monitor for excavation of tissue surrounding the biopsy site. d. encourage ambulation. e. administer aspirin PRN for pain.
A and B
How is West Nile virus prevented? SATA a. Mosquito repellent b. Get rid of stagnant water. C. Nothing
A and B
What should the nurse give to a patient who is having an IV urography? SATA a. Fluids b. Don't give if allergic to shellfish. c. bool d. drool
A and B
A nurse is preparing a teaching session about reducing the risk of complications of diabetes mellitus which of the following information should the nurse plan to include in the teaching? (Select all that apply) a. Reduce cholesterol and saturated fat intake. b. Increased physical activity and daily exercise. c. Enroll in smoking cessation program. d. Sustain hyperglycemia to reduce deterioration of nerve cells. e. Maintain optimal blood pressure to prevent kidney damage.
A, B, C, E
What should the nurse expect to see with an acute leukemia patient that is receiving aggressive chemotherapy? (Select all that apply) a. Decrease platelet count. b. increase hemoglobin. c. decrease leukocyte. d. increase platelets. e. decrease erythrocytes.
A, C, E
A nurse is caring for a patient that has TB. What precaution would the patient be in? a. Airborne b. droplet c. transgender d. monkey
A. Airborne
What should the nurse expect to find with a patient that has multiple myeloma? a. Bone pain b. shock c. edema
A. Bone pain
Should a nurse be taken care of patient with artificial nails? a. No b. Yes
A. No
A nurse is caring for a patient who has diabetes and reports foot pain. The nurse should evaluate the patient for which of the alterations as indications of an infection? Select all that apply. a. Bradycardia b. Increase in neutrophils. c. Increase in RBCs d. Increase in platelets. e. Localized edema
B and E
A nurse is admitting a client who has pertussis. Which of the following types of transmission- based precautions should the nurse initiate? a. Airborne b. Contact c. Droplet d. Protective
C. Droplet
A nurse is caring for a client who received a diagnosis of systemic scleroderma five years ago. The nurse is planning to assess and document her progression. In addition to skin changes which of the following findings should you expect? a. Periorbital edema b. Excessive salivation c. Sclerodactyly d. Thinning of the skin
C. Sclerodactyly/Finger Contractures
A nurse is reviewing a client's lab values. Which of the following values should the nurse report to the provider? a. Hematocrit 45% b. WBC 1,700 c. Hgb 14.7 d. Platelets of 160,000
b. WBC 1700
A nurse is caring for a group of clients on a med surg unit which of following situations require the nurse to wear gloves? SATA a. Emptying urine from an indwelling catheter b. Providing oral care c. Changing colostomy bag d. Delivering the food tray to a person who has AIDS. e. Placing oral medication tablets into patients' hand
a, b, c
A nurse is setting goals for a client who has AIDS and is at the end of the life. Which of the following are not realistic goals? Select all that apply. a. The client will verbalize an understanding of the mode of disease transmission. b. The client will experience a weight gain of one or two pounds per week. c. The client will increase attendance at community social activities. d. The client will receive medication to minimize episodes of breakthrough pain.
a, b, c
A nurse in a provider's office is assessing a client who has rheumatoid arthritis which of the following findings are an early manifestation of this condition? Select all that apply. a. Anorexia b. decrease range of motion c. low grade fever d. weight loss
a, c, d
A nurse is assessing a client for late manifestation of rheumatoid arthritis. Which of the following changes are late manifestation of RA? Select all that apply. a. Morning stiffness b. Fatigue (Early manifestation) c. Temporomandibular joint pain d. Baker's cysts
a, c, d
Which health teaching by the nurse is important for clients diagnosed with SLE? Select all that apply. a. "Take frequent rest periods to prevent fatigue." b. "Avoid green leafy vegetable to prevent bleeding." c. "Avoid sun exposure to prevent disease flare-ups." d. "Report fever to your health care provider." e. "Use a mild soap for bathing to prevent skin irritation."
a, c, d, e
How long should packed red blood cells be hanging for? a. 4 hours b. 2 hours c. 9 hours
a. 4 hours
Which lab value should you report to the provider? a. Hematocrit of 45% b. WBC 1,700 c. Hgb 14.7 d. Platelets of 160,000
b. WBC 1700
A client just learned her acute kidney failure is chronic kidney failure and learning about a low protein diet which of the following shows the client understand the teaching? a. A low protein diet reduces the risk for uremia. b. a low protein diet reduces the risk for edema. c. a low protein diet will reduce the risk for hypercalcemia. d. a low protein diet will increase the nitrogenous waste in the blood.
a. A low protein diet reduces the risk for uremia.
Which of the following beverages can trigger a gout attack? a. Alcohol b. Milk c. Orange juice d. Coffee
a. Alcohol
A nurse is assessing the respiratory pattern of an older adult client who is receiving end of life care. Which of the following assessment findings should the nurse identify as Cheyne- Stokes respirations? a. Breathing ranges from very deep to very shallow with periods of apnea. b. Shallow to normal breaths alternating with periods of apnea. c. Rapid respirations that are usually deep and regular. d. An inability to breathe without dyspnea unless sitting upright.
a. Breathing ranges from very deep to very shallow with periods of apnea.
What supplements should a patient who is taking steroids take? a. calcium and vitamin D b. vitamin b
a. Calcium and Vitamin D
A nurse is caring for a client who has metastatic bone cancer. The client states, "I want to go home to die." The family is concerned about meeting the clients care needs at home. Which of the following actions should the nurse take? a. Discuss initiating Hospice care with the client and family. b. Write a referral to place the client in a nursing home. c. Talk with the provider about extending the clients hospital stay. d. inform the client's family that they are responsible for providing palliative care.
a. Discuss initiating Hospice care with the client and family.
A nurse is caring for a client in the orientation phase of the nurse client relationship. Which of the following communication techniques should the nurse use during this phase? a. Elicit information from the client. b. Encouraged the client to use self-exploration. c. View the client's progress toward personal objectives. d. Talk with others who have information about the client.
a. Elicit information from the client.
What are the symptoms for herpes 2? a. Flu like symptoms b. mangled tiger roar c. mounted lebra d. gangreen
a. Flu like symptoms
Where is herpes simplex 2 found? a. Genitals b. hands c. feet d. palms
a. Genitals
A nurse is reviewing the lab results of a client who has prerenal kidney injury which of the following electrolyte imbalances should the nurse expect? a. Hyperkalemia b. Hypernatremia c. Hypercalcemia d. Hypophosphatemia
a. Hyperkalemia
Where is herpes simplex one found? a. Mouth b. Feet c. Dong d. Butt
a. Mouth
A nurse is caring for a client who has contact dermatitis of the neck and upper chest. Which of the following is an expected finding? a. Report of exposure to a skin irritant b. Denial of peritus c. Systemic symptoms including a fever. d. Report of generalized joint discomfort.
a. Report of exposure to a skin irritant
A nurse is monitoring a client who had a myocardial infraction (MI) for the development of an acute kidney injury. Which of the following findings should the nurse identify as an increase risk of acute kidney injury? a. Serum Creatine 1.8 b. Serum osmolality 290 c. BUN 20 d. Magnesium 2.0
a. Serum Creatine 1.8
When should a nurse wear an N95? a. TB b. Pertussis c. RSV
a. TB
What does the thymus, spleen, and lymph nodes do? a. These organs support immune system. b. everything c. nothing
a. These organs support immune system.
What is the first thing a nurse should do if they get a needlestick from a patient who has hepatitis? a. Wash the site with soap and water. b. dont do anything c. help others
a. Wash the site with soap and water.
How is hepatitis A prevented? a. Washing hands after using the bathroom b. it isnt c. doing the dishes
a. Washing hands after using the bathroom
A nurse is caring for an adolescent female client with a WBC of 16,000 with increased immature neutrophils, and normal monocytes. Which of the following is an appropriate reaction of the results? a. Acute infection process b. Neutropenia c. Allergic reaction d. Resolving inflammation process
a. acute infection process
A nurse is creating a plan of care for a client who's immunosuppressed. Which of the following precautions should the nurse include in the plan? (Select all that apply) a. Don mask, gloves, and gown b. Restrict visitors who have active infections. c. Limit the client from bathing daily. d. Perform frequent hand hygiene. e. Dispose of all linens in trash after use.
a. b. d
A nurse is assessing a client who has chronic kidney disease for fluid volume increase the reliable measure of fluid retention? a. Daily weight b. Sodium level c. Tissue turgor d. Input and output
a. daily weight
A nurse completed care procedures for a client who requires airborne precautions which of the following items of personal protective equipment should the nurse remove last? a. Mask b. Gloves c. Gown d. Goggles
a. mask
What type of soap should you use when the patient has C diff? a. Non-antimicrobial b. alcohol
a. non-antimicrobial
What interdisciplinary is included for RA? a. Occupational therapy b. speech c. spanish
a. occupational therapy
A nurse is reviewing the arterial blood gas values of a client who has chronic kidney disease which of the following sets of values should the nurse expect? a. pH 7.25, HCO3- 19 mEq/L, PaCO2 30mm Hg b. pH 7.30, HCO3- 26 mEq/L, PaCO2 50mm Hg c. pH 7.50, HCO3- 20 mEq/L, PaCO2 32 mm Hg d. pH 7.55, HCO3- 30 mEq/L, PaCO2 31 mm Hg
a. pH 7.25, HCO3- 19 mEq/L, PaCO2 30mm Hg
The nurse sees assistive personnel entering the room of a client who requires transmission- based precautions without using the appropriate PPE. Which of the following actions should the nurse take first? a. provide the appropriate PPE to the AP b. notify the chargers about the APs need for training. c. volunteer to provide an answer about infection control. d. speak with the AP when he exits the room about the appropriate protocol.
a. provide the appropriate PPE to the AP
A nurse is reviewing a client CBC finding and discovers that the client's platelet count is 9000 the nurse should monitor the client for which of the following conditions? a. spontaneous bleeding b. oliguria c. hyperactive deep tendon reflexes d. infection
a. spontaneous bleeding
What type of precautions should the nurse take if the patient has hepatitis C? a. Standard precaution b. droplet precaution c. contact precaution. d. airborne precaution
a. standard precaution
Which vital signs are the most important one when giving blood? a. Temperature b. BP c. Pulse d. Mom
a. temperature
A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication? a. Tinnitus b. Clay colored stools c. Nystagmus d. Respiratory depression
a. tinnitus
What do you expect to see with a delayed hypersensitivity reaction? a. Tissue damage b. mom c. dad d. brother
a. tissue damage
A nurse is teaching a client about genital herpes. Which of the following statements by the client indicate the need for further teaching? a. transmission of the disease will not occur when my lesions are gone. b. abstaining from sexual activity reduces the risk of transmission of disease. c. The use of condoms will reduce the risk of transmission. d. antiviral medications will not cure the infection.
a. transmission of the disease will not occur when my lesions are gone.
A client states, "Why do I feel reprieve now that my mom is gone?" Which of the following responses should the nurse make? a. "Do you feel guilty?" b. "Tell me what you are thinking." c. "You are in denial about your moms death." d. "Your dad is not suffering anymore."
b. "Tell me what you are thinking."
A nurse is assessing a client for risk factors for contracting hepatitis. Which of the following is at risk for developing hepatitis C? a. A client who eats raw shellfish. b. A client who has multiple tattoos. c. A client who works in a childcare center. d. A client who recently traveled in an underdeveloped country.
b. A client who has multiple tattoos.
A nurse is caring for a patient who has HIV. Which of the lab values is the nurse's priority? a. A positive western blot test b. CD 4T cell count of 180 cells c. platelets of 150,000 d. WBCs of 5000
b. CD 4T cell count of 180 cells
A nurse is caring for a client who has atopic dermatitis. Which of the following findings should the nurse expect? a. Acute rash following allergen exposure. b. Chronic rash with thick skin. c. Curvy white ridges between the fingers. d. Visible nits on the scalp hair.
b. Chronic rash with thick skin.
What precaution would a VRE patient need to be in? a. Droplet b. Contact c. Airborne d. Protective
b. Contact
A nurse is presenting a community program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection which of the following manifestations should the nurse include in the explanation of the initial symptoms? a. lung infection b. Fever, fatigue, or rash c. Fungal and bacteria infection d. Kaposi sarcoma
b. Fever, fatigue, or rash
The nurse in the provider's office is assessing a client who has AIDS the nurse notes that the client has multiple and widespread raised purplish brown skin lesions the nurse should recognize that these findings indicate which of the following conditions? a. Actinic keratosis b. Kaposi sarcoma c. toxic epidermal necrosis d. basal cell carcinoma
b. Kaposi sarcoma
A nurse is repairing the admission of a client who has active TB. Which of the following precautions should the nurse take? a. have staff visitors were gowns masks gloves while the client's room. b. Place the client in a private room with ventilation system. c. Assign the client with another patient who requires droplet precautions. d. Modify the protocol for donning and removing PPE before entering and leaving the client's room.
b. Place the client in a private room with ventilation system.
A nurse is caring for a client who had an allogeneic hypoetic stem cell transplant which of the following infection control precaution should the nurse use while caring for the client? a. Airborne b. Protective c. Contact d. Droplet
b. Protective
A nurse teaching a new group of assisted personnel about the importance of hand hygiene. Which of the following statements should the nurse include? a. If you wear gloves you do not have to wash your hands. b. Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds. c. Use an alcohol rub when your hands are visibly soiled. d. If you don't have an infection in your hands won't infect others.
b. Rub all surfaces of your hands with an alcohol rub for 20 to 30 seconds.
A nurse is reviewing lab findings for four clients which of the following clients has manifestations of acute kidney injury? a. BUN 15 b. Serum creatinine of 6 c. Hemoglobin of 16 d. Potassium of 4.5
b. Serum creatinine of 6
A nurse is assessing a client for suspected anaphylactic reaction following a CT scan contrast media for which of the following client findings should the nurse intervene first? a. Urticaria b. Stridor c. Vomiting d. Hypotension
b. Stridor
A nurse is caring for a patient who has the flu and is in droplet precaution which of the following should the nurse take? a. Place the client in a room with negative air flow. b. Wear a mask would providing care to the client. c. Make sure the client's room has a help her HEPA filtration. d. Wear a gown when providing care for the client.
b. Wear a mask would providing care to the client.
A nurse is teaching a patient who has atopic dermatitis. Which of the following statements should the nurse include in the teaching? a. You will need to take the entire antibiotic so your condition will improve. b. Your provider may recommend a daily antihistamine to help control your symptoms. c. You should cleanse your mouth daily with prescribed mouthwash. d. Your provider will remove the lesions with solid carbon dioxide.
b. Your provider may recommend a daily antihistamine to help control your symptoms.
A nurse is getting ready to perform hand hygiene. Which of the following actions should the nurse take? a. Adjust the water temperature to feel hot. b. apply four to five mL of liquid soap to the hand. c. hold the hands higher than the elbows. d. rub hands and arms to dry.
b. apply four to five mL of liquid soap to the hand.
What is an adverse effect to a platelet transfusion? a. Hypothermia b. Chills c. Nystagma?????? d. Bradycardia
b. chills
A nurse in a providers office is assessing a client who has rheumatoid arthritis which of the following findings is a late manifestation of this condition? a. Anorexia b. decrease range of motion c. low grade fever d. weight loss
b. decrease range of motion
A nurse is in the dialysis center caring for a client who has a new diagnosis of end stage kidney disease when he arrives for his first dialysis treatment he tells the nurse I decided to come today but I'm not sure if I will need to come back again this week I'm feeling much better since my discharge from the hospital and they think my kidneys are working again the nurse should identify that this client is demonstrating which of the following Kubler Ross stages of grieving? a. Bargaining b. Denial c. Depression d. Anger
b. denial
A nurse is caring for a client with an infected wound removes a dressing saturated with blood and purulent drainage. How should the nurse dispose of the dressing? a. Discard the dressing in the bedside trash. b. dispose addressing a biohazard bin. c. enclose the dressing in a single clear plastic bag and then throw it in the trash. d. Double back the dressing in clear bags and label it biohazard.
b. dispose addressing a biohazard bin.
A nurse has completed procedures for a client who requires airborne precautions. Which of the following items of personal protective equipment should the nurse remove first? a. Mask b. Gloves c. Gown d. Googles
b. gloves
A nurse is caring for a diabetic client who has nephrotic syndrome and is receiving high dose corticosteroid therapy for which of the following should the nurse monitor? a. Hypermagnesemia b. Hyperglycemia c. Hyperkalemia d. Hypomagnesemia
b. hyperglycemia
A nurse is assessing a client in the oliguric phase of acute kidney injury which of the following findings should the nurse expect? a. decrease in creatinine level. b. hyperkalemia c. hypomagnesemia d. increased GFR
b. hyperkalemia
If a client is allergic to eggs which vaccine may induce a severe allergic reaction and clients who are hypersensitive? a. COVID-19 b. Influenza c. Hepatitis d. Pertussis
b. influenza
A nurse is caring for a client who has manifestations of C diff which of the following actions should the nurse plan to take? a. place the surgical mask on the client during transport. b. place the client on contact precautions. c. Use an alcohol-based agent to perform hand hygiene when caring for the client. d. obtained a blood specimen to test for C diff.
b. place the client on contact precautions.
A nurse is reviewing the medication list for a client who has a new diagnosis of type 2 diabetes. The nurse should recognize which of the following medications can cause hyperglycemia? a. Dextromethorphan b. Prednisone c. Atorvastatin
b. prednisone
A nurse is administering platelets to a client who reports having lower back pain and feeling chilled and itchy. Which of the following actions should the nurse take first? a. Notify the provider. b. Stop the infusion. c. Collect a urine sample from the client. d. Return the platelet bag and tubing to the blood bank.
b. stop the infusion
A patient receiving blood reports lower back pain and feeling chills. What should the nurse do first? a. Notify the provider. b. stop the infusion. c. collect a blood sample. d. return blood back and tubing to blood bank.
b. stop the infusion
A nurse is caring for a client who has chemotherapy induced peripheral neuropathy. The nurse should expect the client to report having experienced which of the following symptoms? a. extremities that turn blue when exposed to cold. b. tingling feeling in the extremities c. jerking movements of the extremities d. spasms of the extremities
b. tingling feeling in the extremities
A client has white blood cell change in which the number of suppressor T cells is way below normal and ask the nurse which type of health problem could be expected a result of this deficiency. What is the nurse's best response? a. "You will need to receive booster vaccinations more often because your ability to make antibodies is reduced." b. "Try to avoid crowds and people who are ill because you are now more susceptible to bacterial and viral infections." c. "Everything about you will be more prone to allergic reaction when exposed to allergens or drugs." d. "Your risk for cancer development is increased."
c. "Everything about you will be more prone to allergic reaction when exposed to allergens or drugs."
A group of nurses are discussing the risk factors for transmission of HIV. Which of the following individuals should the nurse identify at being at the greatest risk for contracting HIV? a. Occupational therapist who works with a client who has HIV. b. A personal trainer who works with a client who has HIV. c. A phlebotomist who collects blood from clients who have HIV. d. A nurse who works for an insurance company and collects urine samples from clients who have HIV.
c. A phlebotomist who collects blood from clients who have HIV.
A nurse is teaching a group of newly licensed nurses on effective techniques for counseling clients about sexually transmitted infections which of the following statement should the nurse include in the teaching. a. Use close ended questions. b. A client's reproductive health history is not needed for counseling. c. Ask about the client's exposure to any past or present STIs. d. Refer the client to genetic counseling if he has had an STIs.
c. Ask about the client's exposure to any past or present STIs.
A nurse is caring for a client has named a person to serve as his as his health care proxy the client states he needs clarification about this type of advanced directive which of the following statements by the client indicates a need for clarification? a. I can change who I designate as my healthcare proxy at any time. b. If I come incapacitated end of life choices will be made by my proxy. c. I have to choose a family member as my health proxy. d. The health care proxy does not go into effect until I'm incapable of making decisions.
c. I have to choose a family member as my health proxy.
An elevation of which of the following immunoglobulins indicates a positive result for a radioallergosorbent test (RAST) That a client with seasonal allergy symptoms completed? a. Immunoglobulin G b. Immunoglobulin A c. Immunoglobulin E d. Immunoglobulin M
c. Immunoglobulin E
A nurse is completing a physical examination of a client and notes that lab values indicate Leukocytosis the nurse should recognize which of the following manifestations is associated with Leukocytosis? a. Anemia b. Coagulation disorders c. Inflammation d. Renal disorder
c. Inflammation
A nurse is presenting a presentation about HIV for a church-based group. Which of the following information about HIV transmission should the nurse include? a. It is primarily transmitted through casual contact. b. It is primarily transmitted accidental puncture wounds. c. It is primarily transmitted through direct contact with infected body fluids. d. It's primarily transmitted through mosquitoes.
c. It is primarily transmitted through direct contact with infected body fluids.
A nurse is caring for a patient who has a punctured wound on their foot. Which of the following is a manifestation of acute osteomyelitis? a. Numbness of the toes on the affected foot b. Hyperthermia c. Localized erythema d. Bradycardia
c. Localized erythema
A nurse is reviewing the causes of gout with a group of nurses. Which of the following statements should the nurse make? a. Uric acid levels drop and calcium forms precipitate. b. Tofee forms in the kidneys and they impair the excretion of uric acid. c. The intra articular deposition of uric crystals causes inflammation. d. Articular cartilage thins lead to splitting and fragmentation.
c. The intra articular deposition of uric crystals causes inflammation.
A nurse in the emergency department caring for a client who has anaphylaxis following a bee sting. Which of the following actions should the nurse take first? a. Assess the client's level of consciousness. b. Administer epinephrine. c. auscultate for wheezing. d. monitor for hypotension.
c. auscultate for wheezing.
A nurse is assessing a client who has systemic lupus erythematosus which of the following findings is the highest priority for the nurse to report to the provider? a. A client reported feelings of depression. b. a dry raised rash on the face c. increase serum creatinine levels. d. joint pain in the hands and knees
c. increase serum creatinine levels.
A nurse is educating a client with an ANC less than 1000/mm3. Which of the following verifies the client understands the teaching? a. Take the rectal temperature each day. b. increase raw produce in their diet. c. limit visitors to healthy adults. d. floss teeth daily.
c. limit visitors to healthy adults
A nurse in a clinic is caring for a female client who was exposed to gonorrhea which of the following action should the nurse take? a. instructed client about preventing reinfection using a diaphragm. b. tell the client to expect some joint pain. c. obtain information about the client's recent sexual experiences. d. collect a urine specimen from the client.
c. obtain information about the client's recent sexual experiences.
A nurse is performing a physical assessment on a client who has scleroderma. Which of the following findings should the nurse expect? a. A grey colored non purpuric papular rash. b. a dry red rash across the bridge of the nose and the cheeks. c. pitting edema of the hands and fingers that is symmetric and painless. d. subcutaneous nodules on the ulnar side of the arm.
c. pitting edema of the hands and fingers that is symmetric and painless.
A patient has a delayed hypersensitivity reaction. Which of the following should the nurse expect as a manifestation? a. Serum sickness b. Bronchospasm c. tissue damage at the site d. excessive mucus secretion
c. tissue damage at the site
A nursing care for a group of clients and an infectious disease unit the nurse should wear an OSHA approved N95 respiratory masks when caring for a client with which of the following infectious disease? a. Pertussis b. mycoplasma pneumonia c. tuberculosis d. respiratory syncytial virus
c. tuberculosis
A nurse is teaching a patient who is starting methotrexate to treat rheumatoid arthritis which of the following instructions should the nurse include in the teaching? a. Avoid eating foods high in vitamin K. b. Use an alcohol-based mouthwash after each meal. c. Take medication daily. d. Contraceptive measures are recommended for childbearing age patients.
d. Contraceptive measures are recommended for childbearing age patients.
The nurse is planning care for a client who has immunosuppression following chemotherapy. Which of the following interventions should the nurse include in the plan of care? a. Insert an indwelling catheter to monitor sediment in the urine. b. Take the clients temperature once per shift. c. Provide the client with fresh fruit to avoid constipation. d. Limit the number of healthcare workers entering the room.
d. Limit the number of healthcare workers entering the room.
A nurse is caring for a client who requires droplet precaution. Which of the following personal protective equipment should the nurse wear when setting up the client's meal tray? a. Gloves b. Goggles c. Gown d. Mask
d. Mask
A nurse is teaching a newly hired assistive personnel about infection control measures on the unit. It is crucial for the nurse to remember to educate APs about which of the following is the most effective way to prevent the spread of pathogens during client care? a. Properly disposing contaminated equipment b. Discarding used syringes in appropriate containers c. Changing soil linens daily for clients who have draining wounds. d. Performing hand hygiene frequently and consistently
d. Performing hand hygiene frequently and consistently
A nurse is teaching a client about taking high doses of oral glucocorticoids for an extended period of time to treat RA. Which of the following instructions should the nurse include in the teaching? a. Plan to check blood glucose levels for hypoglycemia once yearly. b. Glucocorticoids will boost immunity. c. limit the intake of calcium rich foods while taking the medication. d. The monitor for compression fractures of the back and neck
d. The monitor for compression fractures of the back and neck
An older adult is scheduled to have an elective surgical procedure and informs the nurse that she wants to be designated as a DNR do not resuscitate which of the following responses should the nurse provide? a. This is a minor procedure, theres no need for this request. b. You need to let your provider know your wishes after the procedure. c. You need to discuss your request with the hospital chaplain. d. Your provider needs to talk with you concerning your request.
d. Your provider needs to talk with you concerning your request.
A nurse in a clinic is assessing a client who has aids and a significantly decreased CD4T cell count. The nurse should recognize that the client is at risk for developing which of the following infectious oral conditions? a. halitosis b. gingivitis c. serustonia d. Candidiasis
d. candidiasis
The nurse is reviewing the medical record for a client who has a healthcare associated infection. The nurse should identify which of the following findings is a risk factor for acquiring a healthcare associated infection? a. the client who had an appendectomy six months ago b. The client has bipolar disorder. c. the client is male. d. The client is 71 years old.
d. client is 71 years old.
A nurse is giving a patient who has hepatitis C and I am injection before placing the needle in a puncture resistant container which of the following action should the nurse take? a. recap the needle. b. place the cap on the bedside table and slide the needle into the cap. c. wrap the needle with gauze. d. dispose of the needle uncapped.
d. dispose of the needle uncapped.
Which of the following statements should the nurse include in teaching teenage clients about the use of condoms for preventative STIs? a. Use natural membrane condoms rather than polyurethane condoms. b. You use a condom more than once. c. use an oil-based lubricant when you use a condom. d. female condoms can help prevent transmission of sexually transmitted viruses.
d. female condoms can help prevent transmission of sexually transmitted viruses.
A nurse is assessing a client with the history of HIV with phagocytic dysfunction. The nurse should be concerned with which of the following? a. Dehydration b. compartment syndrome c. pleural effusion d. fungal infection
d. fungal infection
A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication after three treatments the experimental medication is discontinued due to evidence of rapidly advancing kidney failure the nurse should understand discontinuing this medication demonstrates which of the following ethical principles? a. veracity b. autonomy c. fidelity d. non maleficence
d. nonmaleficence
A nurse is implementing a plan of care for a client who has AIDS with reoccurring pneumonia which of the following actions should the nurse take? a. encourage fluid intake of 1500mL a day. b. position head of bed at 10 degrees c. cough and deep breathe every eight hours. d. obtain a sputum culture.
d. obtain a sputum culture.
A nurse is caring for a client who has idiopathic thrombocytopenia purpura (ITP) which of the following lab values should the nurse expect to be decreased? a. WBC b. RBC c. Granulates d. Platelets
d. platelets
A nurse is working on a medical unit completing the admission of a client who reports severe allergy to penicillin. Which of the following actions should the nurse take? a. have the client purchase a medication alert bracelet to wear in the hospital. b. notify dietary services to adjust the client's diet. c. remove all objects that contain latex from the client's room. d. verify the client's medication prescriptions do not include Cephalosporin.
d. verify the client's medication prescriptions do not include Cephalosporin.
