Nokea
Which of these groups will the nurse target in planning education related to tuberculosis(TB)? Select one that doesn't apply.
- A. Breast cancer survivors
- B. Those in the local prison
- C. Homeless adults
- D. Recent immigrants to the United States
Correct Answer: A
Rationale: The groups the nurse plans to educate include those adults who live in crowded areas such as prisons and homeless shelters, and those who are recent immigrants to the USA. Other groups at higher risk for tuberculosis include those who abuse injection drugs or alcohol and those groups of lower socioeconomic status.
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A measles exposure from a patient in a clinic was identified and an exposure work-up was initiated. A staff exposure was defined as 'nonimmune HCP with more than 5 minutes of same-room contact or faceto-face with the index patient.' Forty-eight HCP were identified as possible exposures. Of these, 44 had documented immunity to measles. Of the remaining HCP, three did not have the same room or face-to-face contact. How many HCP were at risk of developing measles because of the exposure?
- A. 4
- B. 45
- C. 1
- D. 48
Correct Answer: C
Rationale: 1 HCP (48 - 44 immune - 3 non-exposed) meets the exposure criteria.
What should parents do first if their young child ingests poison?
- A. Administer ipecac syrup
- B. Call an ambulance immediately
- C. Call the poison control center
- D. Punish the child for being bad
Correct Answer: C
Rationale: Before intervening in any way, the parents should call the poison control center for specific directions.
A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. What is the most important consideration for the nurse?
- A. Maintaining oxygen saturation above 95%
- B. Preventing oxygen toxicity
- C. Ensuring proper humidification
- D. Monitoring for carbon dioxide retention
Correct Answer: D
Rationale: Monitoring for carbon dioxide retention is crucial in COPD patients to avoid worsening respiratory status due to excessive oxygen administration.
Which statement by the nursing assistant indicates the best understanding of blood and body fluid isolation protocol?
- A. Masks should be worn with all client contact.
- B. Gloves should be worn for contact with nonintact skin, mucous membranes, or soiled items.
- C. Isolation gowns are not needed.
- D. A private room is always indicated.
Correct Answer: B
Rationale: Gloves should be worn for all contact with blood and body fluids, nonintact skin and mucous membranes; for handling soiled items; and for performing venipuncture.
When caring for a client with a burn injury, which intervention is most important to prevent infection?
- A. Administer antibiotics
- B. Cleanse the wound with sterile saline
- C. Apply topical antimicrobials
- D. Use sterile gloves
Correct Answer: C
Rationale: Applying topical antimicrobials directly to the burn wound prevents infection by inhibiting bacterial growth.