Nokea
Which isolation procedure will be followed for secretions and blood?
- A. Respiratory
- B. Standard Precautions
- C. Contact Isolation
- D. Droplet
Correct Answer: B
Rationale: Standard precautions are taken in all situations for all clients and involve all body secretions except sweat and are designed to reduce the rate of transmission of microbes from one host to another or one source (environment such as the client's bedside table) to another.
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All of the following should be performed when fetal heart monitoring indicates fetal distress except:
- A. increase maternal fluids.
- B. administer oxygen.
- C. decrease maternal fluids.
- D. turn the mother.
Correct Answer: C
Rationale: Decreasing maternal fluids is the only intervention that should not be performed when fetal distress is indicated.
A community health nurse is asked to organize a health promotion project that plans to provide glucose screening. This activity is most beneficial within what realm?
- A. Testing that is performed by volunteers at a local department store and is open to the public
- B. At a professional health fair activity available for selected persons who have been screened as being at risk
- C. Mass-marketing vouchers for free fingersticks at a local drug store, where the pharmacist makes recommendations on the findings
- D. Testing that is performed by a nurse professional, who immediately provides education regarding the findings
Correct Answer: B
Rationale: Glucose screening is most effective for high-risk or symptomatic individuals at a health fair, ensuring targeted and meaningful results.
A client is diagnosed with HIV. Which of the following are antiviral drug classes used in the treatment of HIV/AIDS?
- A. nucleoside reverse transcriptase inhibitors
- B. protease inhibitors
- C. HIV fusion inhibitors
- D. all of the above.
Correct Answer: D
Rationale: All of the choices are anti-HIV drugs.
Which of the following statements by a client indicates adequate understanding of preparation for electroencephalography?
- A. I cannot eat or drink after midnight.'
- B. I need to wash my hair before the test.'
- C. I need to remove metal jewelry.'
- D. I cannot take aspirin before the test.'
Correct Answer: B
Rationale: The client needs to wash his hair to remove hair spray, cream, or oil that might interfere with attaching the electrodes to the scalp. Food or fluids do not need to be restricted, with the exception of caffeinated fluids. There is no restriction on metal objects. Aspirin is not a medication that needs to be held before the test (just anticonvulsants, tranquilizers, barbiturates, and other sedatives).
Which sign might the nurse see in a client with a high ammonia level?
- A. coma
- B. edema
- C. hypoxia
- D. polyuria
Correct Answer: A
Rationale: Coma might be seen in a client with a high ammonia level.