Nokea
A nurse enters the hospital room of a client with reduced immunity. What
observation requires further action by the nurse?
- A. The client is in a private room.
- B. The client has a vase of fresh flowers on the table
- C. The client has a dedicated vital signs machine
- D. There is hand sanitizer by the door
Correct Answer: B
Rationale:
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A nurse is teaching a client who has out about dietary recommendations. The
nurse should teach the client which of the following beverages can trigger an
attack?
- A. Fruit juice
- B. Alcohol
- C. Milk
- D. Coffee
Correct Answer: B
Rationale:
A wound has a blood-tinged liquid that is dripping from the surgical site. How
does the nurse document this finding?
- A. Creamy pus
- B. Serous
- C. Serosanguineous
- D. Purulent exudate
Correct Answer: C
Rationale:
The quality and risk nurse in the local hospital is performing a hospital survey
on sentinel events. Which statements would the nurse use to best describe a
sentinel event?
- A. Operating room event involving the use of unsafe equipments
- B. Specific events that enable a hospital to maximize reimbursement
- C. An unexpected event involving death or serious physical or psychological injury
- D. An event that can cause serious injury to a client that should never happen in a
hospital
Correct Answer: C
Rationale:
Which of the following nonpharmacological methods cannot be used to manage the
chronic pain of a client with rheumatoid arthritis?
- A. Adequate rest
- B. Heat for 20-30 minutes
- C. Hot showers
- D. Ice for 2 hours at a time
Correct Answer: D
Rationale:
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: