Quiz 1

A client with diabetes has impaired sensation in her lower extremities. What education would be necessary to reduce her risk of injury?

"Always test the temperature of bathwater before stepping in."

The home health nurse is providing care to a number of clients. Which client assessed by the nurse will require hospitalization related to complications associated with the feet?

The client with peripheral vascular disease

A woman tests positive for the human immunodeficiency virus antibody but has no symptoms. She is considered a carrier. What component of the infection cycle does the woman illustrate?

a reservoir

The family of a client being discharged home has arranged to rent a hospital bed. What should the nurse teach the family about safety when using the bed?

advisable positions and controls

A nurse is changing the bed linen of a client admitted to the health care facility. Which isolation precaution should the nurse follow?

Standard precautions

A client is very anxious and states, "I am so stressed." What is the reason stress affects the client's safety?

Stress tends to narrow the attention span.

The nurse is assessing older adult clients at a community health center. Which client is identified as being at the highest risk for developing an infection?

Client with immobility, incontinence, and dysphagia following a stroke

A client 80 years of age experienced dysphagia (impaired swallowing) in the weeks following a recent stroke, but his care team wishes to now begin introducing minced and pureed food. How should the nurse best position the client?

Fowler's

A female client is on isolation because she acquired a methicillin-resistant Staphylococcus aureus (MRSA) infection after hospitalization for hip replacement surgery. What name is given to this type of infection?

Healthcare-associated (HAI)

A client comes to the emergency department with major burns over 40% of his body. Although all of the following are true, which one would provide the rationale for a nursing diagnosis of Risk for Infection?

Intact skin and mucous membranes protect against microbial invasion.

A nurse is admitting a client to a geriatric medicine unit. Which nursing action would the nurse perform to reduce the client's risk for a fall?

Orient the client to the room and environment upon admission.

The nurse is meeting with a group of concerned parents of school-aged children about recent events in the community involving guns. What information will the nurse include in the education of the parents about gun safety? Select all that apply.

Reinforce to children to never touch a gun. Instruct children to leave a friend's home in which a gun is accessible. Install a trigger lock on every gun in the home. Place the key to the locked gun storage area in a place inaccessible to children.

Upon review of the client's orders, the nurse notes that the client was recently started on an anticoagulant agent. What is an appropriate consideration when assisting the client with morning hygiene?

Provide the client with an electric shaver.

The nurse provides care to clients of all age groups and is developing an education pamphlet warning about falls. Which age groups would the nurse identify as at risk for falls? Select all that apply.

newborns toddlers older adults

The nurse cares for a newly admitted client who will soon need to be taken to the radiology department for a CT scan. The client has a body mass index (BMI) of 52. Which of the following strategies to transport the client is most appropriate?

obtaining a mechanical lateral transfer device to move the client onto a stretcher

While receiving a report, the nurse learns that a client has paraplegia. The nurse will plan care for this client based upon the understanding that the client has:

paralysis of the legs.

The nurse assists the client to the bathroom sink to perform morning care. The nurse observes the client wash his face, arms, abdomen, and legs. The nurse washes the client's back and rectal area and applies soap to the back. The client brushes his teeth and ambulates to a chair in his room with assistance. How will the nurse describe the morning care on the client's chart?

partial care

A nurse is providing care for a client who has been newly admitted to the long-term care facility. What is the primary criterion for the nurse's decision whether to use a mechanized assistive device for transferring the client?

the client's ability to assist

Before a long-term care resident goes to sleep at night, the client's dentures are placed in a denture cup with clean water. What rationale supports placing dentures in water?

to prevent drying and warping of plastic

Why is it important for the nurse to teach and role model proper body mechanics?

to promote health and prevent illness