NSG4800 Comprehensive Predictor (Lyme Review)
QUESTIONS WITH ANSWERS
A home health nurse is caring for a child who has lyme disease.
Which of the following is an appropriate action for the nurse to take
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis - CORRECT ANSWERS ✔✔a. Ensure the
state health department has been notified
A nurse is caring for a client who has been admitted to the hospital.
(NGN) - CORRECT ANSWERS ✔✔- Provide frequent rest periods
- Restrict client sodium intake
- Advise client to avoid using soap and alcohol based lotions
- Instruct the client to avoid blowing their nose forcefully
- Assess the client's lv of orientation
A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions
should the nurse perform first?
,a. Administered an antiemetic medication
b. Evaluate functioning of the suction device
c. Provide oral hygrine care
d. Replace the NG tube - CORRECT ANSWERS ✔✔b. Evaluate
functioning of the suction device
While performing a routine assessment, a nurse notices fraying on
the electrical cord of a client's continuous passive motion device.
Which of the following actions should the nurse take first
a. Initiate a requisition for a replacement CPM device
b. Report the defect to the equipment maintenance staff
c. Remove the device from the room
d. Ensure the device inspection sticker is current - CORRECT
ANSWERS ✔✔c. Remove the device from the room
A nurse is setting up a sterile field to perform would irrigation for a
client. Which of the following actions should the nurse take when
pouring the sterile solution
a. Remove the cap and place it sterile-side up on a clean surface
,b. Pace sterile gauze over areas of spilled
c. Hold the bottle in the center of the sterile field when pouring the
solution
d. Hold the irrigation solution bottle with the label facing away from
the palm of the hand - CORRECT ANSWERS ✔✔a. Remove the cap
and place it sterile-side up on a clean surface
A nurse is creating a plan of care for a female client who has
recurrent urinary tract infections. Which of the following
interventions should the nurse include in the plan
a. Wear loose-fitting underwear
b. Take a bubble bath after intercourse
c. Drink four 240 ml (8 oz) glasses of water each day
d. Void every 5-6 hr during the day - CORRECT ANSWERS ✔✔a.
Wear loose-fitting underwear
A nurse is caring for a newborn. Fiil in the blank (NGN)
The client at risk for developing _____ and _____
a. Hypoglycemia
b. Bronchopulmonary dysplasia
, c. Transient tachypnea of the newborn
d. Tachycardia - CORRECT ANSWERS ✔✔Tachypnea of the
newborn and hypoglycemia.
A nurse is caring for an infant who has gastroenteritis. Which of the
following assessment findings should the nurse report to the
provider?
a. Pale and a 24-hr fluid deficit of 30 mL
b. Sunken fontanels and dry mucous membranes
c. Decrease appetite and irritability
d. Temperature 38 C and pulse rate of 124/min - CORRECT
ANSWERS ✔✔b. Sunken fontanels and dry mucous membranes
A nurse is conducting health promotion education regarding
contraindication to combination oral contraceptive use to a group of
women. Which of the following conditions should the nurse includes
in the teaching?
a. Hypertension
b. Fibromyalgia
c. Renal calculi
QUESTIONS WITH ANSWERS
A home health nurse is caring for a child who has lyme disease.
Which of the following is an appropriate action for the nurse to take
a. Ensure the state health department has been notified
b. Administer antitoxin
c. Educate the family to avoid sharing personal belongings
d. Assess for skin necrosis - CORRECT ANSWERS ✔✔a. Ensure the
state health department has been notified
A nurse is caring for a client who has been admitted to the hospital.
(NGN) - CORRECT ANSWERS ✔✔- Provide frequent rest periods
- Restrict client sodium intake
- Advise client to avoid using soap and alcohol based lotions
- Instruct the client to avoid blowing their nose forcefully
- Assess the client's lv of orientation
A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions
should the nurse perform first?
,a. Administered an antiemetic medication
b. Evaluate functioning of the suction device
c. Provide oral hygrine care
d. Replace the NG tube - CORRECT ANSWERS ✔✔b. Evaluate
functioning of the suction device
While performing a routine assessment, a nurse notices fraying on
the electrical cord of a client's continuous passive motion device.
Which of the following actions should the nurse take first
a. Initiate a requisition for a replacement CPM device
b. Report the defect to the equipment maintenance staff
c. Remove the device from the room
d. Ensure the device inspection sticker is current - CORRECT
ANSWERS ✔✔c. Remove the device from the room
A nurse is setting up a sterile field to perform would irrigation for a
client. Which of the following actions should the nurse take when
pouring the sterile solution
a. Remove the cap and place it sterile-side up on a clean surface
,b. Pace sterile gauze over areas of spilled
c. Hold the bottle in the center of the sterile field when pouring the
solution
d. Hold the irrigation solution bottle with the label facing away from
the palm of the hand - CORRECT ANSWERS ✔✔a. Remove the cap
and place it sterile-side up on a clean surface
A nurse is creating a plan of care for a female client who has
recurrent urinary tract infections. Which of the following
interventions should the nurse include in the plan
a. Wear loose-fitting underwear
b. Take a bubble bath after intercourse
c. Drink four 240 ml (8 oz) glasses of water each day
d. Void every 5-6 hr during the day - CORRECT ANSWERS ✔✔a.
Wear loose-fitting underwear
A nurse is caring for a newborn. Fiil in the blank (NGN)
The client at risk for developing _____ and _____
a. Hypoglycemia
b. Bronchopulmonary dysplasia
, c. Transient tachypnea of the newborn
d. Tachycardia - CORRECT ANSWERS ✔✔Tachypnea of the
newborn and hypoglycemia.
A nurse is caring for an infant who has gastroenteritis. Which of the
following assessment findings should the nurse report to the
provider?
a. Pale and a 24-hr fluid deficit of 30 mL
b. Sunken fontanels and dry mucous membranes
c. Decrease appetite and irritability
d. Temperature 38 C and pulse rate of 124/min - CORRECT
ANSWERS ✔✔b. Sunken fontanels and dry mucous membranes
A nurse is conducting health promotion education regarding
contraindication to combination oral contraceptive use to a group of
women. Which of the following conditions should the nurse includes
in the teaching?
a. Hypertension
b. Fibromyalgia
c. Renal calculi
