EXAM
Exam Solution
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Kaplan (PN NCLEX) 2026 A+ GRADE ASSURED COMPLE
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TE SOLUTIONS AND VERIFIED ANSWERS (472B4)
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QUESTION 1 zm
Ethical Standards zm
ANSWER
a. Respect for human dignity—give respectful service regardless of client's personal characteristics
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b. Confidentiality—does not discuss condition with anyone not involved with care
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c. Competence—has knowledge and skills to provide care
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d. Advocacy—protects client from incompetent or unethical practice
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e. Research—participates in process of scientific inquiry f. Promotion of public health—
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committed to local and global goals for health of community
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QUESTION 2 zm
Clients Bill of Rights zm zm zm
ANSWER
"
A. Privacy" "
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B. Respectful care" "
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C. Current information" "
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D. Informed consent" "
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E. Confidentiality" "F. Refusal of treatment" "G. Reasonable response to a request for services" "H. Ri
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ght to know hospital/ clinic regulations"
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QUESTION 3 zm
Nursing Considerations for Restraints
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ANSWER
1. Observe and document need for restraints (risk for falls, risk of injury to others, potential for re
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moval of IV lines or other equipment) 2. Consider and document use of alternative measures 3. Heal
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th care provider's order is required specifying duration and circumstances under which restraints sh
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,ould be used 4. Cannot order restraints to be used PRN 5. Monitor client closely, periodically observ
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e for continued need for restraints, document 6. Remove for skin care and range of motion exercise
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s 7. Use alternative measures prior to use of restraints (reorientation, family involvement, frequent a
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ssistance with toileting) zm zm
QUESTION 4 zm
Negligence
ANSWER
unintentional failure of individual to perform an act that a reasonable person would or would not p
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erform in similar circumstances; can be act of omission or commission
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QUESTION 5 zm
Assault
ANSWER
intentional threat to cause harm or offensive unwanted contact; battery—
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intentional touching without consent
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QUESTION 6 zm
False Imprisonment zm
ANSWER
1. Client is denied discharge from a health care facility 2. Client is denied discharge after signing an
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against medical advice (AMA) document 3. Client is placed in restraints without appropriate medical
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mneed
QUESTION 7 zm
Tarasoff Act zm
ANSWER
duty to warn of threatened suicide or harm to others
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QUESTION 8 zm
RN Scope of Practice (can be delegated to RN)
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ANSWER
1) Performs assessments 2) Admits new clients 3) Discharges clients 4) Cares for complex clients 5)
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Retains care of clients with diagnoses unique to the unit (particularly in situations of "pulled" or re
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,assigned nurses) 6) Performs client and family teaching about new diagnoses, diagnostic tests, medic
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ations, skills for self-care, and discharge/home care
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QUESTION 9 zm
LPN Scope of Practice (can be delegated to LPN)
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ANSWER
1) Assist with implementation of defined plan of care 2) Perform procedures according to protocol
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3) Differentiate normal from abnormal, report data to RN 4) Care for physiologically stable clients w
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ith predictable conditions 5) Has knowledge of asepsis and dressing changes 6) Ability to administer
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medications varies with educational background and state nurse practice act
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QUESTION 10 zm
UAP/CNA Scope of Practice (can be delegated to UAP)
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ANSWER
1) Assist with direct client care activities (bathing, transferring, ambulating, feeding, toileting, obtaini
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ng vital signs, height, weight, intake and output, housekeeping, transporting, stocking supplies) 2) In
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cludes nurses' aides, assistants, technicians, orderlies, nurse extenders 3) Scope of nursing practice i
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s limited
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QUESTION 11 zm
Common situations that require an incident report
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ANSWER
1. Medication errors—
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omitted medication, wrong medication, wrong dosage, wrong route 2. Complications from diagnostic
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or treatment procedures (e.g., blood sample stick, biopsy, x-
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ray, LP, invasive procedure, bronchoscopy, thoracentesis) 3. Incorrect sponge count in surgery 4. Fail
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ure to report change in client's condition 5. Falls 6. Client is burned 7. Break in aseptic technique 8.
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mMedical—legal incident ............ zm zm
a. Client or family refuses treatment as ordered and refuses to sign consent ............
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b. Client or family voices dissatisfaction with care and situation cannot be or has not been resolved
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QUESTION 12 zm
Ethical Principles of Nursing zm zm zm
ANSWER
1. Autonomy—
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support of client's independence to make decisions and take action for themselves 2. Beneficence—
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duty to help others by doing what is best for them; client advocacy for refusal of care, autonomy ov
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, errides beneficence 3. Nonmaleficence—
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"do no harm"; act with empathy toward client and staff without resentment or malice; violated by a
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cts performed in bad faith or with ill will, or when making false accusations about client or employe
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e 4. Justice—use available resources fairly and reasonably 5. Veracity—
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communicate truthfully and accurately 6. Confidentiality—safeguard the client's privacy 7. Fidelity—
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following through on what the nurse says will be done; carefully attending to the details of the clien
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t's care
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QUESTION 13 zm
Diagnose Infection zm
ANSWER
1. Inflammation—immediate, short-
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term, nonspecific response to the adverse effects of injury, i.e., physical irritants (trauma/foreign bod
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y) or chemical irritants (strong acids/ alkalies) or invasion by microorganisms 2. Communicable dise
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ases—
caused by pathogenic microorganisms and transmitted by direct contact, droplet spread, contaminate
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d articles, or through carriers (see Table 1) 3. Hospital-Acquired Infections (HAI)—
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nearly 2 million (5%) hospital clients acquire an infection in the hospital; most often caused by Stap
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hylococcus aureus zm
QUESTION 14 zm
Plan/Implementation of Infection zm zm
ANSWER
1. Treatment of infection or infectious disease with appropriate antibiotic medication 2. Standard pr
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ecautions (barrier)—used with all clients ..........
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a. Primary strategy for infection control in all settings ..........
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b. Most important way to reduce transmission of pathogens
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QUESTION 15 zm
Clinical Picture of Chickenpox (Varicella) (13-17 days)
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ANSWER
Prodromal: slight fever, malaise, anorexia Rash is pruritic, begins as macule, then papule, and then v
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esicle with successive crops of all three stages present at any one time; lymphadenopathy; elevated
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temperature
QUESTION 16 zm
Transmission of Chickenpox (Varicella) zm zm zm
ANSWER
Exam Solution
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Kaplan (PN NCLEX) 2026 A+ GRADE ASSURED COMPLE
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TE SOLUTIONS AND VERIFIED ANSWERS (472B4)
zm zm zm zm zm
QUESTION 1 zm
Ethical Standards zm
ANSWER
a. Respect for human dignity—give respectful service regardless of client's personal characteristics
zm zm zm zm zm zm zm zm zm zm zm
b. Confidentiality—does not discuss condition with anyone not involved with care
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c. Competence—has knowledge and skills to provide care
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d. Advocacy—protects client from incompetent or unethical practice
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e. Research—participates in process of scientific inquiry f. Promotion of public health—
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committed to local and global goals for health of community
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QUESTION 2 zm
Clients Bill of Rights zm zm zm
ANSWER
"
A. Privacy" "
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B. Respectful care" "
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C. Current information" "
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D. Informed consent" "
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E. Confidentiality" "F. Refusal of treatment" "G. Reasonable response to a request for services" "H. Ri
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ght to know hospital/ clinic regulations"
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QUESTION 3 zm
Nursing Considerations for Restraints
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ANSWER
1. Observe and document need for restraints (risk for falls, risk of injury to others, potential for re
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moval of IV lines or other equipment) 2. Consider and document use of alternative measures 3. Heal
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th care provider's order is required specifying duration and circumstances under which restraints sh
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,ould be used 4. Cannot order restraints to be used PRN 5. Monitor client closely, periodically observ
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e for continued need for restraints, document 6. Remove for skin care and range of motion exercise
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s 7. Use alternative measures prior to use of restraints (reorientation, family involvement, frequent a
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ssistance with toileting) zm zm
QUESTION 4 zm
Negligence
ANSWER
unintentional failure of individual to perform an act that a reasonable person would or would not p
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erform in similar circumstances; can be act of omission or commission
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QUESTION 5 zm
Assault
ANSWER
intentional threat to cause harm or offensive unwanted contact; battery—
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intentional touching without consent
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QUESTION 6 zm
False Imprisonment zm
ANSWER
1. Client is denied discharge from a health care facility 2. Client is denied discharge after signing an
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against medical advice (AMA) document 3. Client is placed in restraints without appropriate medical
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mneed
QUESTION 7 zm
Tarasoff Act zm
ANSWER
duty to warn of threatened suicide or harm to others
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QUESTION 8 zm
RN Scope of Practice (can be delegated to RN)
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ANSWER
1) Performs assessments 2) Admits new clients 3) Discharges clients 4) Cares for complex clients 5)
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Retains care of clients with diagnoses unique to the unit (particularly in situations of "pulled" or re
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,assigned nurses) 6) Performs client and family teaching about new diagnoses, diagnostic tests, medic
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ations, skills for self-care, and discharge/home care
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QUESTION 9 zm
LPN Scope of Practice (can be delegated to LPN)
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ANSWER
1) Assist with implementation of defined plan of care 2) Perform procedures according to protocol
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3) Differentiate normal from abnormal, report data to RN 4) Care for physiologically stable clients w
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ith predictable conditions 5) Has knowledge of asepsis and dressing changes 6) Ability to administer
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medications varies with educational background and state nurse practice act
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QUESTION 10 zm
UAP/CNA Scope of Practice (can be delegated to UAP)
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ANSWER
1) Assist with direct client care activities (bathing, transferring, ambulating, feeding, toileting, obtaini
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ng vital signs, height, weight, intake and output, housekeeping, transporting, stocking supplies) 2) In
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cludes nurses' aides, assistants, technicians, orderlies, nurse extenders 3) Scope of nursing practice i
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s limited
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QUESTION 11 zm
Common situations that require an incident report
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ANSWER
1. Medication errors—
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omitted medication, wrong medication, wrong dosage, wrong route 2. Complications from diagnostic
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or treatment procedures (e.g., blood sample stick, biopsy, x-
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ray, LP, invasive procedure, bronchoscopy, thoracentesis) 3. Incorrect sponge count in surgery 4. Fail
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ure to report change in client's condition 5. Falls 6. Client is burned 7. Break in aseptic technique 8.
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mMedical—legal incident ............ zm zm
a. Client or family refuses treatment as ordered and refuses to sign consent ............
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b. Client or family voices dissatisfaction with care and situation cannot be or has not been resolved
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QUESTION 12 zm
Ethical Principles of Nursing zm zm zm
ANSWER
1. Autonomy—
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support of client's independence to make decisions and take action for themselves 2. Beneficence—
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duty to help others by doing what is best for them; client advocacy for refusal of care, autonomy ov
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
, errides beneficence 3. Nonmaleficence—
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"do no harm"; act with empathy toward client and staff without resentment or malice; violated by a
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cts performed in bad faith or with ill will, or when making false accusations about client or employe
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e 4. Justice—use available resources fairly and reasonably 5. Veracity—
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communicate truthfully and accurately 6. Confidentiality—safeguard the client's privacy 7. Fidelity—
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following through on what the nurse says will be done; carefully attending to the details of the clien
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t's care
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QUESTION 13 zm
Diagnose Infection zm
ANSWER
1. Inflammation—immediate, short-
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term, nonspecific response to the adverse effects of injury, i.e., physical irritants (trauma/foreign bod
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y) or chemical irritants (strong acids/ alkalies) or invasion by microorganisms 2. Communicable dise
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ases—
caused by pathogenic microorganisms and transmitted by direct contact, droplet spread, contaminate
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d articles, or through carriers (see Table 1) 3. Hospital-Acquired Infections (HAI)—
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nearly 2 million (5%) hospital clients acquire an infection in the hospital; most often caused by Stap
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hylococcus aureus zm
QUESTION 14 zm
Plan/Implementation of Infection zm zm
ANSWER
1. Treatment of infection or infectious disease with appropriate antibiotic medication 2. Standard pr
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ecautions (barrier)—used with all clients ..........
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a. Primary strategy for infection control in all settings ..........
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b. Most important way to reduce transmission of pathogens
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QUESTION 15 zm
Clinical Picture of Chickenpox (Varicella) (13-17 days)
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ANSWER
Prodromal: slight fever, malaise, anorexia Rash is pruritic, begins as macule, then papule, and then v
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
esicle with successive crops of all three stages present at any one time; lymphadenopathy; elevated
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temperature
QUESTION 16 zm
Transmission of Chickenpox (Varicella) zm zm zm
ANSWER
