Nokea
A charge nurse is reviewing guidelines for initiating airborne precautions. Which of the following patients should the nurse identify as requiring airborne precautions? Which patient requires airborne precautions?
- A. A patient who has streptococcal pharyngitis
- B. A patient who has scabies
- C. A patient who has measles
- D. A patient who has pertussis
Correct Answer: C
Rationale: The correct answer is C: A patient who has measles. Measles is a highly contagious airborne disease spread through respiratory droplets. Airborne precautions are necessary to prevent transmission. Streptococcal pharyngitis (A) is spread through direct contact or respiratory droplets, not airborne. Scabies (B) is transmitted through skin-to-skin contact, not airborne. Pertussis (D) is spread through respiratory droplets, but not as easily as measles, so airborne precautions are not typically required.
You may also like to solve these questions
A nurse has accepted a position on a pediatric unit and is learning about psychosocial development. Arrange Erikson's stages of psychosocial development in order from birth to adolescence. Arrange Erikson's stages from birth to adolescence.
- A. Identity vs. role confusion
- B. Trust vs. mistrust
- C. Industry vs. inferiority
- D. Autonomy vs. shame and doubt
- E. Initiative vs. guilt
Correct Answer: B,D,E,C,A
Rationale: 1. Trust vs. mistrust comes first as it pertains to infancy and the development of basic trust in caregivers.
2. Autonomy vs. shame and doubt follows, focusing on toddlers developing independence.
3. Initiative vs. guilt is next, focusing on preschoolers exploring and taking initiative.
4. Industry vs. inferiority is about school-aged children developing competence.
5. Identity vs. role confusion is about adolescents forming a sense of self.
Therefore, the correct order is B, D, E, C, A. Other choices are incorrect as they do not align with the chronological order of Erikson's stages.
A nurse is caring for a patient who has a new prescription for metformin. Which of the following laboratory tests should the nurse monitor? Which lab test should the nurse monitor for metformin?
- A. Liver function tests
- B. Thyroid function tests
- C. Complete blood count
- D. Renal function tests
Correct Answer: D
Rationale: The correct answer is D: Renal function tests. Metformin is primarily excreted by the kidneys, so monitoring renal function tests like serum creatinine and estimated glomerular filtration rate (eGFR) is crucial to assess kidney function and prevent potential metformin-induced lactic acidosis. Monitoring liver function tests (A) is not essential for metformin therapy, as metformin is not metabolized by the liver. Thyroid function tests (B) are not directly affected by metformin. Complete blood count (C) is not typically monitored specifically for metformin therapy. Therefore, the most appropriate choice is D as it directly reflects metformin's clearance and potential for toxicity.
A nurse is educating a parent of a 6-month-old infant about car seat safety. Which statement from the parent indicates a correct understanding of the teaching?,Which statement indicates correct understanding of car seat safety?
- A. Our car seat is an infant model and is anchored in the car.
- B. The car seat is rear-facing in the front passenger seat.
- C. I can fit my hand between the baby and the car seat harness.
- D. Our car seat is front-facing in the back seat.
Correct Answer: A
Rationale: The correct answer is A because anchoring the infant car seat in the car is crucial for safety. This ensures the seat is securely installed and minimizes the risk of injury during a collision. Choice B is incorrect as rear-facing car seats should never be placed in the front passenger seat due to the presence of airbags, which can be dangerous for infants. Choice C is incorrect because the harness should be snug against the infant's body without any slack, and being able to fit a hand between the harness and the baby indicates it is too loose. Choice D is incorrect as infants should be in rear-facing seats until at least 2 years old for optimal safety.
A nurse is caring for a patient who is receiving continuous bladder irrigation following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider? Which finding should the nurse report during bladder irrigation?
- A. Urine output of 200 mL/hr
- B. Pink-tinged urine
- C. Clots in the drainage bag
- D. Bladder spasms
Correct Answer: C
Rationale: The correct answer is C: Clots in the drainage bag. This finding should be reported to the provider because it may indicate bleeding or clot formation, which can obstruct the catheter and impair the irrigation process. Clots can also increase the risk of urinary retention or infection. Reporting this finding promptly allows the provider to assess the patient's condition and take appropriate interventions to prevent complications.
Incorrect choices:
A: Urine output of 200 mL/hr is within the expected range for continuous bladder irrigation and does not necessarily indicate a problem.
B: Pink-tinged urine is a common finding following prostate surgery and is expected during bladder irrigation.
D: Bladder spasms are common after prostate surgery and can be managed with appropriate medications.
E, F, G: These choices are not provided, but they would be incorrect as they are not related to complications of bladder irrigation post-prostate surgery.
A nurse is assessing a 1-year-old child. Which of the following disorders should the nurse suspect? Which disorder should the nurse suspect in a 1-year-old?
- A. Intussusception.
- B. Wilms tumor.
- C. Pyloric stenosis.
- D. Nephritic syndrome.
Correct Answer: B
Rationale: The correct answer is B: Wilms tumor. This is because Wilms tumor is a common childhood kidney cancer that typically presents in children aged 1-5 years. The nurse should suspect Wilms tumor in a 1-year-old child due to the age range of presentation. Intussusception (A) is more common in infants aged 3-12 months. Pyloric stenosis (C) typically presents in infants around 2-8 weeks old. Nephritic syndrome (D) is more common in older children. Therefore, based on the age group and common presentation, Wilms tumor is the most likely disorder to suspect in a 1-year-old child.