NSG 3850 Exam 4 Galen College Of Nursing Actual
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A nurse is contributing to the plan of care for a client who
is being admitted to the facility with a suspected diagnosis
of pertussis. Which of the following interventions should
the nurse suggest?? (Select all that apply.)
A. Place the client in a room that has negative air pressure
of at least six exchanges per hour.
B. Wear a mask when providing care within 3 ft of the
client.
C. Place a surgical mask on the client if transportation to
another department is unavoidable.
D. Use sterile gloves when handling soiled linens.
E. Wear a gown when performing care that might result in
contamination from secretions. - Answer-B, C, E
The nurse is reviewing the use of transmission-based
isolation precautions with a group of new nurses.
Sort the following infectious diseases by the type of
precautions required. (Contact, Droplet, Airborne)
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A. Tuberculosis
B. SARS-CoV-2 (COVID-19)
C. Influenza
D. C. difficile
E. MRSA - Answer-Contact: D, E
Droplet: C
Airborne: A, B
A nurse is reviewing the wound healing process with a
group of newly licensed nurses. The nurse should include
in the information which of the following alterations for
wound healing by secondary intention? (Select all that
apply.)
A. Stage 3 pressure injury
B. Sutured surgical incision
C. Casted bone fracture
D. Laceration sealed with adhesive
E. Open burn area - Answer-A, E
A client who had abdominal surgery 24 hr ago suddenly
eports a pulling sensation and pain in their surgical
incision. The nurse checks the surgical wound and finds it
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separated with viscera protruding. Which of the following
actions should the nurse take? (Select all that apply.)
A. Cover the area with saline-soaked sterile dressings.
B. Apply an abdominal binder snugly around the abdomen.
C. Use sterile gauze to apply gentle pressure to the
exposed tissues.
D. Position the client supine with the hips and knees bent.
E. Offer the client a warm beverage (herbal tea. - Answer-
A, D
A nurse is reviewing the stages of infection with new
nurses. Place the stages in the order in which they occur.
A. Prodromal
B. Convalescence
C. Incubation
D. Illness - Answer-C, A, D, B
A nurse is caring for a client who has an infection.
Sort the manifestations the nurse would expect to find if
the infection is Localized or Systemic.
A. Fever
B. Malaise
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C. Edema
D. Pain or tenderness
E. Increase in pulse and respiratory rate - Answer-
Systemic: A, B, , E
Localized: C, D
A nurse is collecting data from a client who is 5 days
postoperative following abdominal surgery. The surgeon
suspects an incisional wound infection and has prescribed
antibiotic therapy for the nurse to initiate after collecting
wound and blood specimens for culture and sensitivity.
Which of the following findings should the nurse expect?
(Select all that apply.)
A. Increase in incisional pain
B. Fever and chills
C. Reddened wound edges
D. Increase in serosanguineous drainage
E. Decrease in thirst - Answer-A, B, C
A nurse is caring for a 45-year-old client who is 2 days
postoperative following an appendectomy and has type I
diabetes mellitus. Their Hgb is 12 g/dL and BMI is 17.1.