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A nurse is assisting with the admission of a client who has pertussis. Which of
the following
isolation precautions should the nurse implement
- Protective environment
- Droplet precaution
-airborne precuation
contact precaution
- Droplet
The nurse should initiate droplet precautions for a client who has an infection
that can be transmitted by droplets in the air that are larger than 5 microns,
such as pertussis.
Health care professionals should wear a mask when working within 0.9 m (3
feet) of the client while providing care. Other infections that require droplet
precautions include mumps, pharyngeal diphtheria, streptococcal pharyngitis,
and meningococcal pneumonia.
,A nurse is reinforcing teaching with a client who is scheduled for an EEG.
Which of the following
information should the nurse include in the teaching
- Shampoo your hair the night before
- Shampoo your hair the night before
The nurse should instruct the client to shampoo her hair to remove any oils or
residue from styling products that might interfere with the adhesion of the
scalp electrodes.
Electrodes are attached to the client's scalp using electrode paste. An EEG is a
diagnostic test that determines electrical activity in the brain and identifies the
presence of seizures or other conditions involving the cortex of the brain.
A nurse is assisting a client to move from a bed to a wheelchair. The client had
a total knee arthroplasty 2 days ago and reports generalized weakness. Which
of the following is an appropriate action by the nurse
-Place the wheelchair at 90 angle to the bed
- Lock the wheels of the bed and the wheelchair
- ask the client to place the foot of the eaker leg beneath the edge og the bed
_ Elevate the bed to position of comfort for the nurse
- Lock the wheels of the bed and the wheelchair
The nurse should always keep the wheels of the bed and wheelchair in the
locked position to prevent them from moving when transferring a client.
,A nurse is reinforcing postoperative teaching with a client who is scheduled
for a cataract surgery
on his right eye. Which of the following instructions should the nurse include
- Wear protective eye shield while sleeping
- Wear protective eye shield while sleeping
The nurse should remind the client to wear an eye shield while sleeping. This
protects the operative eye from injury due to rubbing or pressure from the
pillow.
A nurse is reinforcing teaching with a client who has chronic renal failure and is
prescribed epoetin alfa. Which of the following information should the nurse
include in the teaching.
- Epoetin Alfa can reduce your need for a blood transfusion
- Epoetin Alfa can reduce your need for a blood transfusion
Epoetin alfa is a hormone that stimulates the production of red blood cells. It is
used in the treatment of specific types of anemia. Therapeutic effects are
indicated by an
increase in hematocrit resulting in a decreased requirement for blood
transfusions.
The nurse monitoring a client who has a new priscription for furosemide for
peripheral edema for which of the following adverese effect should the
nurse monitor?
-Muscle weakness
Muscle weakness
Furosemide is a loop diuretic, which is used to treat hypertension and edema.
Furosemide can cause excess excretion of potassium. The nurse should monitor
the
client for manifestations of hypokalemia such as nausea, muscle weakness, and
spasms.
, A registered nurse in an acute care facility is caring for a group of clients with
the assistance of a LPN. Which of the following tasks should the RN delegate
to the LPN
- Inserting an NG tube
- Assessing a client who report chest pain
- Monitoring an IV infusion site is correct
- teaching a client how to empty an ostomy pouch
- Administering IM Medication
- Inserting an NG tube
- Monitoring an IV infusion site is correct
- Administering IM Medication