Nokea
When providing a routine bed bath, what action does the nurse complete
first?
- A. Cleanse the client's feet
- B. Cleanse the client's hands
- C. Cleanse the client's perineal area
- D. Cleanse the client's face
Correct Answer: D
Rationale:
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The nurse is providing education to a client regarding the administration of eye
drops. Which of the following actions indicates the need for further client
education?
- A. The client instills the prescribed number of eye drops into the conjunctival sac
- B. The client sets the cap to the eye drop container down in a manner that does not
contaminate it - C. The client touches the administration dropper her to the eye
- D. The client washes her hands before instilling the eye drops
Correct Answer: C
Rationale:
The nurse is most concerned about which of these findings in a client with
systemic lupus erythematous?
- A. The client reports chronic fatigue
- B. The client has a butterfly rash
- C. Blood pressure of 126/85 mm Hg
- D. Urine output of 20 mL/hour
Correct Answer: D
Rationale:
A nurse is teaching a newly hired group of unlicensed assistive personnel
about infection-control measures on the unit. What is the most effective way to
prevent the spread of pathogens during client care?
- A. Properly dispose of contaminated equipment
- B. Perform hand hygiene
- C. Discard used syringes into appropriate containers
- D. Change soiled linens
Correct Answer: B
Rationale:
A provider has ordered a wound culture for a client with a non-healing wound.
What is the nurse's first action?
- A. Label the specimen tube
- B. Put on non-sterile gloves
- C. Gently remove the soiled dressings
- D. Irrigate the wound
Correct Answer: B
Rationale:
A client who is sitting in High-Fowler's position is at risk for what type of
injury as the skin layers shift in opposite directions?
- A. Traumatic injury
- B. Pressure injury
- C. Friction injury
- D. Shearing injury
Correct Answer: D
Rationale: