Nokea
A nurse is caring for a client who has methicillin-resistant Staphylococcus
aureus (MRSA) in an abdominal wound. The nurse prepares to enter the room
to check the client's pulse. What personal protective equipment (PPE) should
the nurse don?
- A. PAPR mask
- B. Sterile gloves
- C. Gown
- D. Surgical mask
Correct Answer: C
Rationale:
You may also like to solve these questions
What is the likely reason that a client with acquired immunodeficiency
syndrome (AIDS) would succumb to pneumonia while a healthy person exposed
to the same infection did not?
- A. The client with AIDS is a susceptible host
- B. The client with AIDS has greater immune defenses
- C. The client with AIDS was not as careful
- D. The client with AIDS has more portals of entry
Correct Answer: A
Rationale:
A client with systemic sclerosis has been in bed for 2 weeks due to fatigue and
abdominal pain. Today, the client came into the clinic complaining of her leg
being hot, red and painful. What does the nurse suspect?
- A. Amputation
- B. Deep vein thrombosis
- C. Internal bleeding
- D. Kidney failure
Correct Answer: B
Rationale:
A client is experiencing numbness and tingling distal to a new arm cast with no
increase in pain. The nurse assesses that the client's fingers are pale, cool and
swollen. What action does the nurse take next?
- A. Remove the cast to decrease pressure
- B. Raise the arm above the level of the heart
- C. Apply heat to the affected hand
- D. Encourage range of motion
Correct Answer: B
Rationale:
The nurse is caring for a client who develops compartment syndrome from a
severely fractured arm. The client asks how this can happen. What is the best
response by the nurse?
- A. . "The fascia expands with injury, causing pressure on underlying nerves and muscles."?
- B. "An injured artery causes impaired arterial perfusion through the compartment."?
- C. "Bleeding and swelling cause increased pressure in an area that cannot expand."?
- D. . "A bone fragment has injured the nerve supply in the area."?
Correct Answer: C
Rationale:
The client complains of fatigue and joint pain and reports that they are
unable to walk due to pain in the knees. What is the most appropriate statement
by the nurse?
- A. "You just have arthritis and should take some ibuprofen."?
- B. "You should avoid walking. This might be osteoporosis."?
- C. "Please tell me more about when your pain started."?
- D. "You need to lose weight or the pain won't go away."?
Correct Answer: C
Rationale: