Hurst Review NCLEX
6. Infectious Mononucleosis (Mono) 7. Rubella (German Measles)
6. 7.
8. Meningococcal Meningitis 9. Impetigo
8. 9.
Isolation Precautions Exercise What type of isolation precaution will the client be on with the following diseases? 1. Human Immunodeficiency Virus (HIV)
1.
10. Seasonal Influenza 11. Rubeola (Measles)
10. 11.
12. Tuberculosis (TB) with pulmonary involvement 13. Infectious Parotitis (Mumps)
12. 13.
14. Rotavirus 15. Pertussis (Whooping Cough)
14. 15.
16. Tetanus 17. Escherichia Coli Gastroenteritis (E coli)
16. 17.
18. Herpes zoster (Shingles) Localized 19. Herpes zoster (Shingles) Disseminated disease
18. 19.
2. Multidrug- resistant organisms (MDROs) (e.g., MRSA, VRE, VISA/VRSA, ESBLs, resistant s. pneumoniae) 3. Candidiasis (Thrush)
2. 3.
20. Respiratory Syncytial Virus (RSV) 21. Lice (head)
20. 21.
22. Lyme disease 23. Coronavirus/COVID-19
22. 23.
The obstetric's nurse notes minimal variability with a late deceleration on the electric fetal monitor of a client that is 38 weeks gestation . Which action will the nurse take first ? 1. Notify the primary healthcare provider . 2. Apply 10L O2 per nasal cannula . 3. Prepare for an emergency cesarean section . 4. Reposition the client to the left side .
4 - Repositioning the client can help improve perfusion from the placenta to the fetus , especially if there is compression on the umbilical cord . This is the first step the nurse should take.
4. Varicella Zoster (Chicken pox) 5. Clostridium Difficile Enterocolitis (C. Diff)
4. 5.
The nurse has been teaching the client about warfarin for prevention of pulmonary emboli . Which comments by the client indicate understanding of the medication ? 1. " I must get my blood levels checked regularly . " 2. " I shouldn't change my diet to include a lot of foods containing vitamin K without supervision . " 3. " I should eat lots of foods containing vitamin K. " 4. " I should report this medication to any primary healthcare provider that I see . " 5. " I should not change the dosage without talking with my primary healthcare provider . "
Rationale 1. , 2. , 4. & 5. Correct : The client should comply with regular follow up visits for checks of INR level . INR is the international normalization ratio and is used for clients taking anticoagulants ( blood thinning medications ) . The client should eat a normal healthy diet , but should not increase foods containing high amounts of vitamin K. The client should report using warfarin to any primary healthcare provider , as treatment may be changed due to this medication . The client should not manipulate the dosage unless instructed by the primary healthcare provider . An identification card or bracelet may also be recommended in case of emergencies . Clients should inform dentists and other healthcare providers especially before a medical procedure . The anticoagulant effect must be closely monitored . Incorrect : Vitamin K reverses the anticoagulant effects warfarin , so instruct the client to avoid foods high in vitamin K ( examples are green leafy vegetables , brussels sprouts , prunes , cucumbers and cabbage ) .
