Answers
The nurse is caring for assigned clients. Which of the following actions is
appropriate for the nurse to take?
A. Having a client with pertussis wear a surgical mask during transport
B. Wearing a respirator mask when caring for a client who has impetigo
C. Initiating airborne precautions for a client diagnosed with epiglottitis
D. Placing a client who had a stem cell transplant in contact isolation
A. Having a client with pertussis wear a surgical mask during transport
Pertussis is droplet precautions which requires the patient to wear a mask during
transport and requires the nurse to wear gloves, gown, surgical mask and a
private room. The other diseases are incorrectly matched to their isolation type.
The nurse is caring for a client who is currently prescribed bedrest. Which of the
following actions should the nurse take to help prevent the development of a
pulmonary embolus?
A. Instruct the client to perform leg exercises
B. Determine if the client is using the incentive spirometer correctly
C. Encourage the client to cough and deep breath
D. Elevate the client's legs on a pillow
A. Instruct the client to perform leg exercises
, While other interventions are correct, they are to prevent atelectasis and pressure
ulcers. Leg exercises is the only intervention that would help with PE's specifically.
The nurse is planning care for a client who has end-stage cirrhosis of the liver with
encephalopathy. Which of the following interventions should the nurse be
prepared to implement to decrease the client's ammonia level?
A. Restrict the client's intake of fluid
B. Administer prescribed Vitamin K
C. Administered prescribe diuretics
D. Reduce the client's intake of protein
D. Reduce the client's intake of protein
The byproduct of protein is amino acids, which results in higher levels of ammonia.
This is the only intervention that would help decrease the ammonia level.
The nurse is caring for a client who is suspected of having bacterial meningitis.
Which of the following actions is a priority for the nurse to take?
A. Initiate droplet precautions
B. Prepare the client for a lumbar puncture
C. Administer IV antibiotics
D. Obtain a set of blood cultures
A. Initiate droplet precautions