Nokea
A client has tuberculosis, and the nurse is planning care. Which of the following isolation precautions should the nurse implement?
- A. Protective environment
- B. Contact
- C. Airborne
- D. Droplet
Correct Answer: C
Rationale: Tuberculosis is transmitted through the air, making it an airborne disease. Airborne precautions are essential to prevent the spread of tuberculosis to others. These precautions include placing the client in a negative pressure room, wearing an N95 respirator mask, and ensuring proper ventilation to minimize the risk of transmission to healthcare workers and other clients.
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A healthcare professional is preparing to administer medications to a client who has an NG tube for continuous feedings. Which of the following actions should the healthcare professional take?
- A. Add crushed medications to the enteral feeding.
- B. Infuse each medication by gravity.
- C. Administer the medications through a syringe.
- D. Flush the NG tube with 5 mL of sterile water.
Correct Answer: C
Rationale: Administering medications through a syringe is the correct action to take when a client has an NG tube for continuous feedings to ensure that each medication is delivered correctly and is not mixed with the enteral feeding. This method helps prevent drug interactions and ensures proper administration of each medication.
Your assigned client has encephalitis, and there are other cases in the community. In a team meeting regarding your client and prevention of other cases of encephalitis, the nurse supervisor talks about breaking the chain of infection at the second link: the reservoir. You realize the nurse supervisor is talking about which of the following things?
- A. an area for the storage and filtering of water
- B. a place where the microorganism enters the body
- C. the place where the microorganism naturally lives
- D. the microorganism itself
Correct Answer: C
Rationale: Breaking the infection chain at the reservoir means targeting where the microorganism naturally lives like mosquitoes for encephalitis. This differs from the pathogen itself, entry portals, or unrelated water storage. Controlling reservoirs, such as vector elimination, stops transmission early, a vital nursing strategy in outbreak prevention discussed in team settings.
A client has a prescription for a clear liquid diet. Which of the following foods should the nurse offer?
- A. Milk
- B. Vegetable juice
- C. Chicken broth
- D. Orange juice with pulp
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which of the following statement is NOT true about narcotic analgesics?
- A. It works on the CNS to relieve pain
- B. There is no ceiling effect
- C. Causes physical dependence
- D. May cause respiratory depression
Correct Answer: B
Rationale: Narcotic analgesics work on the CNS (A), cause dependence (C), and may depress respiration (D), per opioid action. No ceiling effect (B) is untrue opioids have a dose limit beyond which pain relief plateaus, unlike non-opioids. B's falsehood contrasts with pharmacology, making it the correct not-true statement.
While assessing a client with fluid volume deficit, which of the following findings should the nurse expect?
- A. Bradycardia
- B. Increased skin turgor
- C. Dry mucous membranes
- D. Hypertension
Correct Answer: C
Rationale: Dry mucous membranes are a classic clinical manifestation of fluid volume deficit. Dehydration leads to reduced fluid intake or excessive fluid loss, resulting in decreased moisture in the mucous membranes. Bradycardia, increased skin turgor, and hypertension are not typically associated with fluid volume deficit. Bradycardia is more commonly seen in conditions like hypothyroidism or increased intracranial pressure. Increased skin turgor is a sign of dehydration, and hypertension is not a typical finding in fluid volume deficit.