When planning care for a 8-year-old boy with Down syndrome, the nurse should: A. Plan interventions according to the developmental level of a 7-year-old child because that’s the child’s age B. Plan interventions according to the developmental levels of a 5-year-old because the child will have developmental delays C. Assess the child’s… Read More »
An eighty-five-year-old man was admitted for surgery for benign prostatic hypertrophy. Preoperatively he was alert, oriented, cooperative, and knowledgeable about his surgery. Several hours after surgery, the evening nurse found him acutely confused, agitated, and trying to climb over the protective side rails on his bed. The most appropriate nursing intervention that will calm an agitated client… Read More »
Which of the following information about a client who has meningococcal meningitis has the best indicator that you can discontinue droplet precautions? A. Pupils are equal and reactive to light B. Temperature is lower than 100°F (37.8°C) C. Appropriate antibiotics have been given for 24 hours D. Cough is productive of clear, nonpurulent… Read More »
Nurse Vincent is teaching the parents of a school-age child. Which teaching topic should take priority? A. Explaining normalcy of fears about body integrity B. Keeping a night light on to allay fears C. Prevent accidents D. Encouraging the child to dress without help Correct Answer: C. Prevent… Read More »
Ms. Smith is admitted for internal radiation for cancer of the cervix. The nurse knows the client understands the procedure when she makes which of the following remarks the night before the procedure? A. She says to her husband, “Please bring me a hamburger and french fries tomorrow when you come. I hate hospital… Read More »
You are the charge nurse on the pediatric unit when a pediatrician calls wanting to admit a child with rubeola (measles). Which of these factors is of most concern in determining whether to admit the child to your unit? A. No negative-airflow rooms are available on the unit B. The infection control nurse liaison is… Read More »
The nurse is finishing her shift in the pediatric unit. Because her shift is ending, which intervention takes top priority? A. Restocking the bedside supplies needed for a dressing change on the upcoming shift B. Documenting the care provided during her shift C. Emptying the trash cans in the assigned client room … Read More »
The nurse in charge is evaluating the infection control procedures on the unit. Which finding indicates a break in technique and the need for education of staff? A. The nurse puts on a mask, a gown, and gloves before entering the room of a client in strict isolation. B. A nurse with open,… Read More »
A client who states that he may have been contaminated by anthrax arrives at the ED. The following actions are part of the ED protocol for possible anthrax exposure or infection. Which action will you take first? A. Assess the client for signs of infection B. Notify hospital security personnel about the client … Read More »
A client has been diagnosed with disseminated herpes zoster. Which personal protective equipment (PPE) will you need to put on when preparing to assess the client? Select all that apply A. Goggles B. Gown C. Gloves D. Shoe covers E. N95 respirator F. Surgical face mask Correct Answer: B, C,… Read More »