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A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?
- A. A negative-pressure isolation room
- B. A private room
- C. A semi-private room with a client who has pediculosis capitis
- D. A positive-pressure isolation room
Correct Answer: B
Rationale: The correct answer is B: A private room. This is because scabies is transmitted through close skin-to-skin contact, so placing the client in a private room will help prevent the spread of the infestation to others. A negative-pressure isolation room (choice A) is used for airborne infections, not for scabies. Placing the client in a semi-private room with a client who has pediculosis capitis (lice) (choice C) increases the risk of cross-infection. Positive-pressure isolation rooms (choice D) are used to protect immunocompromised clients from airborne pathogens.
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A nurse is caring for a client scheduled for a functional assessment who asks, 'What is the purpose of this assessment?' How should the nurse most appropriately respond to the client?
- A. It is a test that determines which activities you feel most comfortable performing
- B. It is a tool that is used to determine your maximum level of self-sufficiency
- C. It is a tool that is used to assess what services you will need a home health aide to perform for you
- D. It is a tool used by insurance companies to determine qualifications for medical reimbursement
Correct Answer: B
Rationale: The correct answer is B: It is a tool that is used to determine your maximum level of self-sufficiency. The purpose of a functional assessment is to evaluate a person's ability to perform daily activities independently. By determining the client's level of self-sufficiency, healthcare providers can tailor care plans to support and enhance the client's functional abilities.
Explanation of other choices:
A: Incorrect. The assessment is not about comfort but rather about assessing functional abilities.
C: Incorrect. The assessment focuses on the client's abilities, not the services they may need from a home health aide.
D: Incorrect. While assessments may impact insurance reimbursement, the primary purpose is not insurance-related but rather focused on the client's functional abilities.
The public health nurse is assigned to the population of clients in an inner-city community. The nurse identifies which of the following as a priority intervention?
- A. Develop a survey on teen pregnancies
- B. Hold a focus group to discuss immunizations
- C. Perform a windshield survey
- D. Interview the elderly at the senior's center
Correct Answer: C
Rationale: The correct answer is C: Perform a windshield survey. This is the priority intervention because it involves assessing the community's overall health needs and resources by physically observing the environment. It helps in identifying key health issues, resources, and potential areas for intervention. Developing a survey on teen pregnancies (A) may be important but not a priority without assessing the community first. Holding a focus group on immunizations (B) is valuable but may not address the broader health needs of the community. Interviewing the elderly at the senior's center (D) is specific and may not represent the entire community.
A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?
- A. A negative-pressure isolation room
- B. A private room
- C. A semi-private room with a client who has pediculosis capitis
- D. A positive-pressure isolation room
Correct Answer: B
Rationale: The correct answer is B, a private room. Scabies is transmitted through direct skin-to-skin contact, so placing the client in a private room helps prevent spread to others. Choice A, a negative-pressure isolation room, is used for airborne infections. Choice C, a semi-private room with a client who has pediculosis capitis, is incorrect because scabies and head lice are different conditions with different modes of transmission. Choice D, a positive-pressure isolation room, is used to protect immunocompromised individuals from outside pathogens.
The nurse is preparing for an initial home care visit for a client with diabetes. Which action by the nurse is appropriate? SELECT ALL THAT APPLY
- A. Going automatically into the client's bedroom
- B. Thanking the client for arranging a home visit
- C. Arranging mutual future visits
- D. Asking how they are managing at home
- E. Sitting down and discussing with the client and family members
Correct Answer: C,D,E
Rationale: The correct actions (C, D, E) are appropriate for the initial home care visit for a client with diabetes. C is correct because arranging mutual future visits establishes continuity of care. D is correct since asking about home management helps assess the client's self-care abilities. E is essential as it promotes open communication and involvement of the client and family in the care plan. A is incorrect as entering the client's bedroom without permission violates privacy. B is incorrect as it is general politeness and not specific to diabetes care.
A nurse is providing care to a client with Myasthenia gravis who has lost 6 kg of weight over the past 2 months. What should the nurse suggest to improve this client's nutritional status?
- A. Restrict drinking fluids before and during meals
- B. Plan medication doses to occur before meals
- C. Increase the amount of fat and carbohydrates in meals
- D. Eat three large meals per day
Correct Answer: B
Rationale: The correct answer is B: Plan medication doses to occur before meals. This is because Myasthenia gravis can cause difficulty swallowing, leading to weight loss. Taking medication before meals can enhance the client's ability to eat by improving muscle strength for swallowing and chewing. Restricting fluids (A) may exacerbate swallowing difficulties. Increasing fat and carbohydrates (C) can lead to weight gain but may not address the swallowing issue. Eating three large meals (D) may be challenging for someone with swallowing difficulties.