Malcolm is newly assigned as a triage nurse, on his first day of work, the following clients arrive at the ED. Which among the clients require the most rapid action to protect other clients in the ED from infection? A. An infant with a runny nose and whose older brother has pertussis. B. A travel… Read More »
Gracie, the mother of a 3-month-old infant calls the clinic and states that her child has a diaper rash. What should the nurse advise? A. “Leave the diaper off while the infant sleeps.” B. “Use baby wipes with each diaper change.” C. “Switch to cloth diapers until the rash is gone” … Read More »
Mrs. Parker, a 70-year-old woman with severe macular degeneration, was admitted to the hospital the day before a scheduled surgery. The nurse’s preoperative goals for Mrs. M. would include: A. Independently ambulating around the unit B. Reading the routine preoperative education materials C. Maneuvering safely after orientation to the room D.… Read More »
A client with a vancomycin-resistant enterococcus (VRE) infection is admitted to the medical unit. Which action can be delegated to a nursing assistant who is assisting with the client’s care? A. Monitor the results of the laboratory culture and sensitivity test. B. Educate the client and family members on ways to prevent transmission… Read More »
Nurse Kelly is teaching the parents of a young child how to handle poisoning. If the child ingests poison, what should the parents do first? A. Call an ambulance immediately B. Administer ipecac syrup C. Punish the child for being bad D. Call the poison control center Correct… Read More »
Joseph is undergoing 24-hour ambulatory electrocardiography using a Holter monitor to determine the cause of his frequent episodes of syncope. To prevent electric interruption from the electrodes to the Holter monitor, Nurse Mike will instruct the client to avoid which of the following? A. Drinking his favorite milkshake B. Wearing loose-fitting clothing … Read More »
Which of the following infection control activities should be delegated to an experienced nursing assistant? A. Screening clients for upper respiratory tract symptoms B. Disinfecting blood pressure cuffs after clients are discharged C. Demonstrating correct handwashing techniques to client and family D. Asking clients about the duration of antibiotic therapy … Read More »
Nurse Betina should begin screening for lead poisoning when a child reaches which age? A. 3 months B. 12 months C. 24 months D. 30 months Correct Answer: B. 12 months The nurse should start screening a child for lead poisoning at age 12 months and perform… Read More »
Which finding would alert a nurse that a hospitalized 6-year-old child is at risk for a severe asthma exacerbation? A. Absence of intercostals or substernal retractions B. Oxygen saturation of 95% C. Mild work of breathing D. History of steroid-dependent asthma Correct Answer: D. History of steroid-dependent… Read More »
You are caring for a client who has been admitted to the hospital with a leg ulcer that is infected with vancomycin-resistant S. aureus (VRSA). Which of these nursing actions can you delegate to an LPN/LVN? A. Assess risk for further skin breakdown B. Plan ways to improve the client’s oral protein intake… Read More »