NCSBN Practice Questions 61-75 And Answers 100% Correct(SCORED A+)

The nurse is coordinating care for a postpartum client and her newborn with the unlicensed assistive personnel (UAP). The mother is human immunodeficiency virus (HIV) positive. The nurse would recognize the need to educate the UAP, who is observed doing which of the following actions? A. Assist the mother who is attempting to breastfeed her baby B. Place the infant on his or her back in the bassinet C. Wear gloves while changing the newborn's soiled diaper D. Assist the mother to walk to the bathroom - ANSWERA In the United States, it is current practice to counsel a mother who is HIV positive, or has AIDS, against breast feeding; breast feeding can transmit the virus through the breast milk to the infant. It is correct to place an infant on his or her back to prevent sudden infant death syndrome. Standard precautions should be followed when caring for any client; health care providers should wear gloves when they anticipate contact with body secretions (changing a soiled diaper). The nurse is teaching a client about precautions while taking warfarin. The nurse should instruct the client to avoid foods with excessive amounts of which nutrient? A. Calcium B. Vitamin E C. Iron D. Vitamin K - ANSWERD Vitamin K is an essential vitamin required for blood clotting. Eating foods with excessive amounts of Vitamin K may alter anticoagulant effects. Foods highest in vitamin K include (dried and fresh) herbs, dark leafy greens, scallions, brussel sprouts, broccoli, chili powder, prunes, asparagus and cabbage. A newly admitted client reports gaining 5 pounds (2.27 kg) the past week even though he has hasn't been very hungry. The nurse observes swelling of the feet and ankles. What is the most likely explanation for the weight gain? A. Hyperthyroidism B. Malnutrition C. Congestive heart failure D. Acromegaly - ANSWERC The unexplained rapid weight gain is probably due to fluid retention. Clients who gain as little as two pounds (0.9 kg) in a week may require hospitalization due to worsening heart failure. The lack of appetite (or a feeling of being full) and edema are also signs of wo