Nokea
Which of the following clients should be placed in isolation for airborne
precautions?
- A. A high school wrestling championship with a rash
- B. A client that recently travelled and developed a fever with cough
- C. A client with an unknown skin infection
- D. A client with heart palpitations
Correct Answer: B
Rationale:
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Which of the following would be the most appropriate goal for an elderly client
with a nursing diagnosis of risk for injury after hip surgery?
- A. Client will increase mobility by the time of discharge from hospital
- B. Client will demonstrate effective breathing pattern when ambulating throughout
hospital stay - C. Client will increase activity tolerance by discharge from the hospital
- D. Client will remain free from falls throughout their hospital stay
Correct Answer: D
Rationale:
What medication class can decrease tissue in inflammation but delays bone
healing?
- A. Opioids
- B. Anticoagulants
- C. Narcotics
- D. Nonsteroidal anti-inflammatory drugs (NSAIDS)
Correct Answer: D
Rationale:
What is a classic symptom assessed in clients with lupus?
- A. Butterfly rash
- B. Chvostek's sign
- C. Ovid's sign
- D. Heberden's nodes
Correct Answer: A
Rationale:
A nurse is providing oral hygiene for an unconscious client. What is the priority
nursing intervention?
- A. Position the client on one side with the head turned towards you
- B. Handle dentures with care
- C. Use gentle brushing and flossing techniques for clients with fragile mucosa
- D. Have a suction apparatus ready at the bedside
Correct Answer: A
Rationale:
A client has a new diagnosis of human immunodeficiency virus HIV. The client
is distraught and does not know what to do. What intervention by the nurse is
the best?
- A. Offer to tell the family for the client
- B. Call the hospital clergy to speak with the client
- C. Assess the client's support system
- D. Explain the legal requirements to tell sex partners
Correct Answer: C
Rationale: