Four clients with infections arrive at the emergency department with some existing infection, however, only one private room is available. Which of the following clients is the most appropriate to assign to the private room? A. A client with toxic shock syndrome and a temperature of 102.4°F (39.1°C). B. A client with diarrhea caused by… Read More »
An infant is hospitalized for treatment of nonorganic failure to thrive. Which nursing action is most appropriate for this infant? A. Encouraging the infant to hold a bottle B. Keeping the infant on bed rest to conserve energy C. Rotating caregivers to provide more stimulation D. Maintaining a consistent, structured environment … Read More »
Several clients are admitted to an adult medical unit. The nurse would ensure airborne precautions for a client with which of the following medical conditions? A. A diagnosis of AIDS and cytomegalovirus B. A positive PPD with an abnormal chest x-ray C. A tentative diagnosis of viral pneumonia D. Mycoplasma pneumonia… Read More »
You are caring for four clients who are receiving IV infusions of normal saline. Which client is at the highest risk for bloodstream infections? A. A client who has nontunneled central line in the left internal jugular vein. B. A client with an implanted port in the right subclavian vein. C. A client with… Read More »
The mother of Gian, a preschooler with spina bifida tells the nurse that her daughter sneezes and gets a rash when playing with brightly colored balloons, and that she recently had an allergic reaction after eating kiwifruit and bananas. The nurse would suspect that the child may have an allergy to: A. Bananas … Read More »
Which of the following is the first priority in preventing infections when providing care for a client? A. Wearing gowns and goggles B. Using a barrier between client’s furniture and nurse’s bag C. Handwashing D. Wearing gloves Correct Answer: C. Handwashing Handwashing remains the most effective way to avoid… Read More »
A client who has frequent watery stools and a possible Clostridium difficile infection is hospitalized with dehydration. Which nursing action should the charge nurse delegate to an LPN/LVN? A. Assess the client’s hydration status B. Explain the purpose of ordered stool cultures to the client and family C. Administer metronidazole (Flagyl) 500… Read More »
A client with clotting disorder has an order to continue lovenox (Enoxaparin) injections after discharge. The nurse should teach the client that lovenox injections should: A. Be injected into the deltoid muscle B. Be injected into the abdomen C. Aspirate after the injection D. Clear the air from the syringe before… Read More »
Category: Health Promotion and Maintenance The nurse is giving discharge teaching to a client seven (7) days post-myocardial infarction. He asks the nurse why he must wait six (6) weeks before having sexual intercourse. What is the best response by the nurse to this question? A. “You need to regain your strength before attempting such exertion.”… Read More »
Olivia had coronary artery bypass graft (CABG) surgery 3 days ago. Which of the following conditions is suspected by the nurse when a decrease in platelet count from 230,000 ul to 5,000 ul is noted? A. Pancytopenia B. Idiopathic thrombocytopenic purpura (ITP) C. Disseminated intravascular coagulation (DIC) D. Heparin-associated thrombosis and… Read More »