Nokea
A client with lupus experience Raynaud's phenomenon. What should the nurse
include when providing client education about this?
- A. In order to avoid flare-ups of Raynaud's, ensure you wear gloves in winter.'
- B. In order to avoid flare-ups of Raynaud's, ensure you brush your teeth for 2 minutes.'
- C. In order to avoid flare-ups of Raynaud's, ensure to keep cool.'
- D. In order to avoid flare-ups of Raynaud's, ensure you wear sunscreen.'
Correct Answer: A
Rationale:
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A client has a new diagnosis of human immunodeficiency virus HIV. The client
is distraught and does not know what to do. What intervention by the nurse is
the best?
- A. Offer to tell the family for the client
- B. Call the hospital clergy to speak with the client
- C. Assess the client's support system
- D. Explain the legal requirements to tell sex partners
Correct Answer: C
Rationale:
What is the priority intervention for the nurse to enhance meeting the
psychosocial needs of a client on transmission-based precautions?
- A. Allow the client sleep to build stamina
- B. Provide the client with diversional activities
- C. Maintain a six-foot distance from the client
- D. Provide a timeframe for the isolation
Correct Answer: B
Rationale:
Which client is at highest risk of compromised immunity?
- A. A client who just had surgery
- B. A client who just delivered a baby
- C. A client with extreme anxiety
- D. A client who is awaiting surgery
Correct Answer: A
Rationale:
What is the nurse's priority action for a client with compromised immunity?
- A. Wash hands before entering the client's room
- B. Take the client's vital signs every 4 hours
- C. Determine whether it is temporary or permanent
- D. Teach the family members to receive the flu shot annually
Correct Answer: A
Rationale:
The nurse assesses a wound with exudate. What should not be included when
documenting the exudate?
- A. Amount
- B. Consistency
- C. Heat
- D. Odor
Correct Answer: C
Rationale: