QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
AmNURSEmISmPROVIDINGmD/CmINSTRUCTIONSmTOmAmPTmWHOmHASmTBmANDmISmBEGINNINGmTXmW/
mMULTIDRUGmTHERAPY.mWHICHmOFmTHEmFOLLOWINGmPTmSTATEMENTSmINDSmANmUNDERSTANDI
NGmOFmTHEmTEACHING?m-mCORRECTmANSWERm-
3mconsecutivemnegativemsputummtestsmwillmindmthatmthemptmismnomlongermcontagious.mBUTmManto
uxmtestmwillmalwaysmbem+.
-ptsmwhomhavemtakenmmedsmtomtxmTBmform2-
3mconsecutivemweeksmaremnomlongermcontagious.mBUT,mptsmwillmneedmtomcontinuemmedmtherapymf
ormatmleastm6mos.
-medsmformTBmcanmdamagemliver.mavoidmconsumingmalc.
-regmfollow-upmvisitsmneededmw/mTB.
AmNURSEmISmCARINGmFORmAmPTmWHOmHASmAmCLOSED-
HEADmINJmANDmISmONmSEIZUREmPRECAUTIONS.mWHICHmOFmTHEmFOLLOWINGmACTIONSmSHOULDm
THEmNURSEmTAKE?m-mCORRECTmANSWERm-
nompaddedmtonguembladem(riskmofmaspmandmdamagemtomteeth).
-nomsidemrailsmraised
-setmupmsuctionmequipmentmatmbedside.
AmNURSEmISmDISCUSSINGmSECURITYmMEASURESmW/mAmPTmFOLLOWINGmDELIVmOFmANmINFANT.mW
HICHmOFmTHEmFOLLOWINGmSTATEMENTSmSHOULDmTHEmNURSEmMAKE?m-mCORRECTmANSWERm-
ifmptmormothermresponsiblempartymmustmleavemthemroommformanymreason,mthemnewbornmshouldmbe
mtransportedmtomthemnewbornmnursery.
-securitymsensormisn'tmremovedmuntilmd/cmfrommfacility.
-2mplasticmIDmbraceletsmneededm-
monemonmarmmandmonemonmleg.mIDm#,mname,mdate,mtimemofmbirth,mandmsexmaremincluded.mreplacemi
mmediatelymifmoffmormmissing.
,-
askmformhospitalmIDmpriormtomallowingmanyonemtomtransportmtheirmnewbornm(don'tmgombymcoloredm
scrubs).
AmNURSEmISmCONDUCTINGmAmPRENATALmCLASSmABTmCARmSEATmSAFETY.mWHICHmOFmTHEmFOLLOW
INGmSTATEMENTSmBYmAmPTmINDICATESmANmUNDERSTANDINGmOFmTEACHING?m-
mCORRECTmANSWERm-infantsmshouldmremainminmthemrear-
facingmpositionmuntilmthey'rematmleastm2yrsmoldmtomensuremsafety.
-securemthemretainermclipmatmlvlmofmbaby'smarmpits.m
-carmseatmatm45mdegmangle.
-
extramblanketsmormpaddingmshouldmnotmbemaddedmtomcarmseatm(couldmcreatemextramairmbtwnminfan
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LLOWINGmPTSmSHOULDmTHEmNURSEmRECmBEmTRANSPORTEDmFIRSTmTOmAmHCF?m-
mCORRECTmANSWERm-ammiddlemadultmptmwhomhasmamsuckingmchestmwoundm
-
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d,mtherefore,mcanmwait.
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mCORRECTmANSWERm-securemanymareamrugsmw/mamnon-
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trafficmareasminmthemhomemandmplacedmalongmthemedgesmofmwalls.m
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,AmNURSEmISmDELEGATINGmMEASUREMENTmANDmDOCmOFmAmPT'SmCAPILLARYmBLOODmGLUCOSEmL
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PLETIONmOFmTHISmTASK?m-mCORRECTmANSWERm-
ensuremthatmthemglucosemlvlmappearsminmthempt'smmedmrecordm-mtaskmcompletion!!
AmNURSEmISmPLANNINGmCAREmFORmAmGRPmOFmPTS.mIDENTIFYmTHATmWHICHmOFmTHEmFOLLOWING
mTASKSmISmOUTSIDEmANmRN'SmSCOPEmOFmPRACTICE?m-mCORRECTmANSWERm-
insertingmamnonmtunneledmpercutaneousmcentralmvenousmcatheter.
AmNURSEmISmCARINGmFORmAmPTmWHOmISmHIV+mANDmHASmPNEUMONIA.mAmFAMmMEMBERmASKSmT
HEmNURSE,m"WHATmISmCAUSINGmMYmSISTER'SmPNEUMONIA?"mWHICHmOFmTHEmFOLLOWINGmRESP
ONSESmSHOULDmTHEmNURSEmMAKE?m-mCORRECTmANSWERm-
"yourmsistermmustmgivempermissionmformmemtomdiscussmhermconditionmw/myou."
AmNURSEmMANAGERmISmPREPPINGmAmSTAFFmEDmPROGRAMmABTmCONFIDENTIALITY.mWHICHmOFmT
HEmFOLLOWINGmACTIONSmSHOULDmTHEmNURSEmTAKEmFIRST?m-mCORRECTmANSWERm-
determinemthemstaff'smcurrentmknowledgemofmconfidentialitymrequirements.
AmNURSEmISmCARINGmFORmAmNEWBORNmWHOSEmGUARDIANmHASmREFUSEDmTHEmROUTINEmADMI
NmOFmERYTHROMYCINmOINTMENTmTOmTHEmNEWBORN'SmEYES.mWHICHmACTIONSmSHOULDmTHEm
NURSEmTAKE?m-mCORRECTmANSWERm-
havemthemguardianmsignmthemfacility'smrefusalmformmandmdocmcompletionmofmthemform.
-
domNOTmobtainmamculturemofmthemnewborn'smeyemsecretionsmformgonorrheam(asmerythromycinmism
usedmasmamprophylacticmtxmformgonorrheamformthempreventionmofmophthalmiamneonatorum.m-
mthemculturesmaremnotmpartmofmstandardmpracticemformprovidingmcaremtomamnewborn).
AmNURSEmISmDELEGATINGmCAREmFORmAmGRPmOFmPTS.mDELEGATEmTOmTHEmAP?m-
mCORRECTmANSWERm-performmpostmortemmcare
(cannotmcheckmplacementmofmenteralmfeedingmtube).
, AmNURSEmISmCARINGmFORmANmANTEPARTUMmPTmWHOmHASmJUSTmBEENmINFORMEDmTHATmTHEIRm
FETUSmHASmANENCEPHALY.mTHEmPTmASKSmTHEmNURSE,m"DOmYOUmTHINKmImSHOULDmTERMINATEm
MYmPREG?"mWHATmSHOULDmTHEmNURSEmSAY?m-
mCORRECTmANSWERm"Let'smtalkmabtmwhatmYOUmthinkmyoumshouldmdo."
AmNURSEmISmPREPPINGmTOmADMINmAmMIXTUREmOFmHALDOLm5mg/mlmANDmDIPHENHYDRAMINEm
50mg/mlmIMmTOmAmPTmWHOmISmAGITATED.mNURSINGmACTION?m-mCORRECTmANSWERm-
avoidmadminm>1mlmofmmedmintomthemdeltoidmsite.mbothmhaloperidolmandmdiphenhydraminemshoul
dmbemadminmdeepmintomamlargemmusclemmass,msuchmasmthemVGmmuscle!!
-usemam2-inmneedlemformanmIMminjectionmofmthismcombomofmthem2mmeds.
-
injectmairmintombothmvialsmpriormtomwithdrawingmthemmeds.mthismactionmensuresmthatmthemnursemc
anmeasilymwithdrawmthemmedmwhenmneededmandmthatmthemmedminmthemsyringemisn'tmpulledmbackm
intomthemvialsmduemtomnegativempressurembeingmformed.
-
themnursemshouldmusemamfiltermneedlemtomwithdrawmmedmfrommanmampule;mhowever,mthemfiltermn
eedlemismremovedmandmreplacedmw/mamregmneedlempriormtomadmin.mthesemmedsmformadminmaremb
eingmwithdrawnmfrommvials,mnotmampules.
AmNURSEmISmTEACHINGmAmPTmWHOmHASmAmNEWmRXmFORmHALDOL.mINSTRUCTIONSmINCLUDEDmIN
mTHEmTEACHING?m-mCORRECTmANSWERm-rinsemyourmmouthmfreqmthroughoutmthemdaym-
mHaldolmhasmantichms/emlikemdrymmouth.m
-tapermHaldolmslowlymtomavoidmEPSm-mdon'tmstopmabruptly/immediatelymformsed!!
-regmeyemexamsm(notmear)mw/mHaldol.
-
usemsunscreenmproductsmormprotectivemclothingmtomminmunprotectedmexposuremtomsunlightmb/cmH
aldolmcanmcausemphotosensitivity.
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RmPAIN.mUNDERSTANDINGmOFmTHEmTEACHING?m-