Nokea
What is the nurse's priority action for a client with compromised immunity?
- A. Wash hands before entering the client's room
- B. Take the client's vital signs every 4 hours
- C. Determine whether it is temporary or permanent
- D. Teach the family members to receive the flu shot annually
Correct Answer: A
Rationale:
You may also like to solve these questions
A client has an open wound with creamy thick yellow drainage. How would the
nurse document this finding?
- A. Purulent
- B. Serosanguinous
- C. Sanguineous
- D. Serous
Correct Answer: A
Rationale:
A nurse is caring for a client who has acute osteomyelitis. Which of the
following interventions is the nurse's priority?
- A. Administer antibiotics to the client
- B. Increase the client's protein intake
- C. Teach relaxation breathing to reduce the client's pain
- D. Provide the client with anti-pyretic therapy
Correct Answer: A
Rationale:
A client is post-operative day 1 and reports a sudden increase in blood-tinged
liquid draining from his incision after feeling a popping sensation. What is the
nurse's next action?
- A. Send the client back to surgery
- B. Assess the wound for signs of dehiscence
- C. Call the provider immediately
- D. Prepare to culture the wound
Correct Answer: B
Rationale:
The client asks the nurse what nonpharmacological intervention can be used to
reduce pain and swelling in her joints affected by rheumatoid arthritis. What is
the most appropriate response by the nurse?
- A. "Ice packs can be used to reduce swelling but should be removed after 20 minutes."?
- B. "Heat always makes the swelling go down. You do not need any other interventions."?
- C. "Try high impact exercise exercise like running to loosen up your joints and reduce
pain."? - D. "Apply ice packs. It is generally okay to keep them on for up to one hour at a time."?
Correct Answer: A
Rationale:
What steps are NOT included in preparing a sterile field?
- A. Do not turn away from the sterile field
- B. Obtain PAPR mask
- C. Prepare the client before setting up the sterile field
- D. Cover the sterile field once it is set up
Correct Answer: B
Rationale: