Nokea
A nurse is preparing to obtain a capillary blood specimen from a client. Which of the following actions should the nurse take? (Select all that apply.)
- A. Squeeze the client's finger until a blood drop forms.
- B. Apply clean gloves.
- C. Prick the side of the client's finger.
- D. Elevate the client's hand above the level of the heart.
- E. Cleanse the client's finger with an iodine swab.
Correct Answer: B,C,E
Rationale: B: Infection control. C: Proper site. E: Disinfection; A causes hemolysis, D reduces blood flow.
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A nurse is assigning a semiprivate room to a client who has herpes zoster. Which of the following roommates is appropriate?
- A. A client who has rubella
- B. A client who has tuberculosis
- C. A client who is HIV-positive
- D. A client who has had varicella
Correct Answer: D
Rationale: Prior varicella exposure prevents shingles transmission, making this roommate safe.
A nurse is collecting data from a client who has hypomagnesemia. Which of the following findings should the nurse identify as a positive Chvostek's sign?
- A. Image A
- B. Image B
Correct Answer: A
Rationale: Image A shows facial twitching from tapping the facial nerve, indicating Chvostek’s sign.
Day 3:
Bone Mineral Density DEXA scan -3.8 (-1 or above)
A nurse in a provider's clinic is assisting in the care of an older adult female client.
Based on the client's laboratory and diagnostic results, indicate which of the following provider prescriptions the nurse should expect.
- A. Home health evaluation of home safety
- B. Vitamin D supplement 2,500 units daily
- C. Increase caffeine intake
- D. Physical therapy for muscle-strengthening and balance-training
- E. Increase daily sun exposure
Correct Answer: A,B,D,E
Rationale:
A nurse is reinforcing teaching with a client about advance directives. Which of the following client statements indicates an understanding of the teaching?
- A. I need to create advance directives so that I can donate my organs.
- B. My advance directives can be enforced once my attorney approves them.
- C. A family member will need to witness my signature on my living will.
- D. I can name my sibling as my designee in my durable power of attorney for health care.
Correct Answer: C
Rationale: A witness, often a family member, validates the living will, reflecting procedural understanding.
A nurse is preparing to perform a fecal occult blood test of stool specimens for a client. Which of the following actions should the nurse plan to take?
- A. Ensure that the stool specimen does not contain urine.
- B. Wear sterile gloves when handling the stool specimen.
- C. Repeat the test three times using the same stool specimen.
- D. Have the client defecate into a bedpan that contains a small amount of water.
Correct Answer: A
Rationale: Urine contamination can cause false positives, compromising test accuracy.