Nokea
A nurse is admitting a client who has tuberculosis. What transmission-based
precautions should the nurse initiate?
- A. Droplet
- B. Contact
- C. Airborne
- D. Protective
Correct Answer: C
Rationale:
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A man has been admitted to the hospital unit with a medical diagnosis of
COPD. He is receiving supplemental oxygen at 2 L/min via nasal cannula.
Which positioning technique will best assist him with his breathing?
- A. Prone position
- B. Sim's position
- C. Lateral position
- D. Fowler's position
Correct Answer: D
Rationale:
What is an example of a client's primary defense to infection?
- A. Intact skin
- B. Inflammation
- C. Phagocytosis
- D. Fever
Correct Answer: A
Rationale:
A client has AIDS. Which of these findings indicate possible
infection?
- A. Respirations; 22 breaths per minute
- B. Client ambulates 20 feet
- C. Purulent drainage
- D. Oxygen saturation; 97% on room air
Correct Answer: C
Rationale:
What can the nurse NOT teach a client with acquired immunodeficiency syndrome
(AIDS) to reduce the risk of infection?
- A. Share toothpaste with family members
- B. Avoid raw fruits and vegetables
- C. Avoid cleaning your toothbrush with bleach
- D. Wash your hands thoroughly
Correct Answer: A
Rationale:
The nurses assess the client's pain prior to completing a dressing change. The
client says his current pain is 5/10, but he has pain of 10/10 when his dressing is
changed. What is the priority intervention for this client?
- A. Offer the client protein with meals to promote healing
- B. Remove the old dressing with clean gloves
- C. Teach the client about nonpharmacological pain control methods
- D. Check medication administration record (MAR)for as needed orders (PRN)
Correct Answer: C
Rationale: