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The school nurse identifies 12 students with confirmed cases of influenza A. The families of the children are advised to keep the children home for a minimum of 5 to 7 days. Which of the following is an appropriate action by the nurse?
- A. Closing the school for 6 weeks
- B. Education regarding respiratory and hand hygiene
- C. Discipline in the school setting for improper handwashing
- D. Running a mandatory flu clinic
Correct Answer: B
Rationale: Correct Answer: B - Education regarding respiratory and hand hygiene
Rationale:
1. Education on respiratory and hand hygiene is crucial in preventing the spread of influenza.
2. By educating families and students, the nurse empowers them to take proactive measures.
3. Closing the school for 6 weeks is excessive and disrupts education.
4. Discipline for improper handwashing is reactive and may not address the root cause effectively.
5. Running a mandatory flu clinic may help, but education on hygiene is a preventive measure.
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A nurse is conducting triage of clients transported from a mass casualty incident (MCI). A client arrives saturated with an unknown substance and medical transport reports feeling dizzy. The nurse should prioritize which actions? SELECT ALL THAT APPLY
- A. Assign the client to a private room
- B. Remove client and transport crew from the Emergency department
- C. Contact decontamination team
- D. Call the scene to identify the chemical
- E. Immediately remove the saturated clothing from the client
Correct Answer: B,C,E
Rationale: Correct Answer: B, C, E
Rationale:
1. Option B - Removing the client and transport crew from the Emergency department is crucial to prevent potential contamination of others and ensure safety.
2. Option C - Contacting the decontamination team is essential to properly manage and decontaminate the client and the area.
3. Option E - Removing the saturated clothing from the client immediately helps eliminate further exposure and contamination risks.
Incorrect Answers:
A: Assign the client to a private room - This is not the priority as immediate decontamination and safety measures are needed.
D: Call the scene to identify the chemical - Identifying the substance is important but not the priority when the client's safety is at risk.
A nurse is assessing a client who reports a severe headache and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions should the nurse perform first?
- A. Decrease bright lights
- B. Implement droplet precautions
- C. Initiate IV access
- D. Administer antibiotics
Correct Answer: B
Rationale: The correct answer is B: Implement droplet precautions. This is the first action the nurse should take because positive Kernig's and Brudzinski's signs suggest the client may have meningitis, which is highly contagious through respiratory droplets. Implementing droplet precautions will help prevent the spread of the infection to others. Decreasing bright lights (A) may be helpful for the client's comfort but is not the priority. Initiating IV access (C) and administering antibiotics (D) are important interventions but should be done after implementing precautions to prevent transmission of the infection.
A nurse is delegating tasks to assistive personnel. Which of the following should the nurse consider when using one of the five rights of delegation?
- A. The assistive personnel's ability to complete the task without assistance
- B. The assistive personnel's level of experience and competency in performing the task
- C. The assistive personnel's rapport with clients
- D. The assistive personnel's availability at the time of the delegation
Correct Answer: B
Rationale: The correct answer is B: The assistive personnel's level of experience and competency in performing the task. When delegating tasks, the nurse must consider the individual's ability to safely and effectively perform the task. Choosing someone with the appropriate experience and competency minimizes the risk of errors or harm to the patient. Additionally, considering the person's level of experience ensures that they have the necessary skills to handle the task independently. Choices A, C, and D are incorrect as they do not directly address the crucial aspect of competency and experience required for safe delegation.
A nurse educator is teaching a group of students about the role of nurses in health promotion. The educator recognizes that the nurse who works in health promotion and safety for an automotive plant is functioning in what role?
- A. Nurse clinician
- B. Public health nurse
- C. Community nurse specialist
- D. Occupational health nurse
Correct Answer: D
Rationale: The correct answer is D: Occupational health nurse. An occupational health nurse specializes in promoting health and safety in the workplace, such as in an automotive plant. This role involves assessing workplace hazards, developing safety protocols, and educating employees on injury prevention. The other choices are incorrect because: A) Nurse clinician focuses on direct patient care, B) Public health nurse focuses on community health outside of the workplace, C) Community nurse specialist focuses on a specific community's health needs. Therefore, the occupational health nurse best fits the scenario described.
A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse?
- A. Place the client on a low-protein, low-calorie diet
- B. Teach the client to walk more quickly when ambulating
- C. Complete passive range-of-motion exercises daily
- D. Give the patient extra time to perform activities
Correct Answer: D
Rationale: The correct answer is D: Give the patient extra time to perform activities. Bradykinesia is a common symptom of Parkinson's disease characterized by slow movement. By giving the patient extra time to perform activities, the nurse can accommodate the decreased speed of movement associated with bradykinesia, promoting independence and preventing frustration. Placing the client on a low-protein, low-calorie diet (A) is not relevant to addressing bradykinesia. Teaching the client to walk more quickly (B) may not be feasible due to the physical limitations caused by the condition. Completing passive range-of-motion exercises daily (C) may be beneficial for maintaining mobility but does not directly address bradykinesia. Giving the patient extra time to perform activities (D) is the most appropriate action as it supports the client's autonomy and helps manage the symptom effectively.