Nokea
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:
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Nurses' Notes Day 1:
Collecting client data on food safety.
Raw meats and raw vegetables are prepared together on one cutting board. Refrigerator is set to 6.7° C (44° F)
Leftovers are discarded after 7 days in refrigerator. Frozen foods are defrosted on the countertop.
Client washes hands for 10 seconds before cooking.
Leftovers are refrigerated after sitting on the countertop for 3 hr.
Reinforced client teaching about food safety. Follow-up visit scheduled in 2 weeks.
Day 14:
At client's home to collect follow-up data on food safety. Uses one cutting board to prepare raw meats and a different cutting board to prepare raw vegetables.
The refrigerator is set to 5.6° C (42° F).
Leftovers are discarded after 2 days in refrigerator. Frozen foods are defrosted in the refrigerator.
Client washes hands for 15 seconds before cooking.
A home health nurse is assisting in the care of a client. Select the 4 findings that indicate an understanding of the reinforced teaching.
- A. Use of cutting board
- B. Amount of time washing hands
- C. Time leftovers sit unrefrigerated on countertop
- D. Refrigerator temperature
- E. Defrosting of frozen foods
- F. Leftover storage time in refrigerator
Correct Answer: A,B,E,F
Rationale:
A nurse is performing a wound irrigation for a client who has methicillin-resistant Staphylococcus aureus. When removing personal protective equipment, which of the following pieces should the nurse remove first?
- A. Gloves
- B. Gown
- C. Goggles
- D. Mask
Correct Answer: A
Rationale: Removing gloves first prevents hand contamination when removing other PPE.
A nurse is preparing to reinforce teaching with a client who has expressive aphasia. Which of the following actions should the nurse plan to take?
- A. Provide the teaching without expecting the client to respond.
- B. Speak with a loud voice while providing the information.
- C. Avoid the use of facial gestures during the instructions.
- D. Determine the client's ability to use a communication board.
Correct Answer: D
Rationale: A communication board aids expression in expressive aphasia, enhancing understanding.
A nurse is reinforcing teaching with a group of newly licensed nurses regarding client confidentiality. In which of the following situations can the nurse disclose health information without the client's written consent?
- A. To a family member when the client is not available
- B. To an employer for a pre-employment screening
- C. To an insurance agency in regard to a life insurance policy
- D. To a medical interpreter service on behalf of a client
Correct Answer: D
Rationale: Disclosure to an interpreter facilitates care and is permitted under HIPAA without consent.
A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?
- A. I will empty my drainage bag once a day.
- B. I will apply antiseptic ointment to the tip of my penis.
- C. I will keep the drainage bag below the level of my waist.
- D. I will clamp the tube when I go for a walk.
Correct Answer: C
Rationale: Keeping the bag below waist level prevents urine backflow, reducing infection risk.