A 4-month-old with meningococcal meningitis has just been admitted to the pediatric unit. Which nursing intervention has the highest priority? A. Obtaining history information from the parents B. Administering acetaminophen (Tylenol) C. Instituting droplet precautions D. Orienting the parents to the pediatric unit Correct Answer: C. Instituting droplet precautions… Read More »
Nurse Jane is visiting a client at home and is assessing him for risk of a fall. The most important factor to consider in this assessment is: A. Correct illumination of the environment B. Amount of regular exercise C. The resting pulse rate D. Status of salt intake Correct… Read More »
As the infection control nurse in an acute care hospital, which action will you take to most effectively reduce the incidence of health-care-associated infections? A. Develop policies that automatically start antibiotic therapy for clients colonized by multi-drug resistant organisms. B. Screen all newly admitted clients for colonization or infection with MRSA. C. Require nursing… Read More »
Shane tells the nurse that she wants to begin toilet training her 22-month-old child. The most important factor for the nurse to stress to the mother is: A. Developmental level of the child’s peers B. Consistency in approach C. The mother’s positive attitude D. Developmental readiness of the child … Read More »
Mrs. Jones will have to change the dressing on her injured right leg twice a day. The dressing will be a sterile dressing, using 4 X 4s, normal saline irrigant, and abdominal pads. Which statement best indicates that Mrs. Jones understands the importance of maintaining asepsis? A. “If I drop the 4 X 4s on the… Read More »
An infant who has been in foster care since birth requires a blood transfusion. Who is authorized to give written, informed consent for the procedure? A. The nurse-manager B. The registered nurse caring for the infant C. The social worker who placed the infant in the foster home D. The foster… Read More »
You are preparing to change the linens on the bed of a client who has a draining sacral wound infected by MRSA. Which PPE items will you plan to use. Select all that apply A. N95 respirator B. Surgical Mask C. Gloves D. Goggles E. Gown Correct Answer: C… Read More »
A client has been placed in blood and body fluid isolation. The nurse is instructing auxiliary personnel in the correct procedures. Which statement by the nursing assistant indicates the best understanding of the correct protocol for blood and body fluid isolation? A. Masks should be worn with all client contact B. A private room is… Read More »
While preparing to discharge an 8-month-old infant who is recovering from gastroenteritis and dehydration, the nurse teaches the parents about their infant’s dietary and fluid requirements. The nurse should include which other topics in the teaching session? A. Safety guidelines B. Preparation for surgery C. Toilet Training D. Nursery schools … Read More »
A 3-year-old child is receiving dextrose 5% in water and half-normal saline solution at 100 ml/hour. Which sign or symptom suggests excessive I.V. fluid intake? A. Temperature of 102°F (38.9°C) B. Worsening dyspnea C. Gastric distension D. Nausea and vomiting Correct Answer: B. Worsening dyspnea Dyspnea and… Read More »