12 to 24 hours 24 to 48 hours 48 to 72 hours 72 to 84 hours
The nurse teaches a group of fire fighters about the spread of tuberculosis (TB). Which statement by a fire fighter indicates the teaching has been effective?
“I could get TB if I come in contact with blood from an infected person.” “I can share a cup of coffee with someone who is infected with TB.” “I could get TB if I inhale infected droplets when an infected individual coughs.” “I need to refrain from shaking hands with an infected person.”
The pediatric nurse is preparing a child with acute lymphocytic leukemia for discharge. The discharge plan should include all but which of the following statements?
restrict naps to allow more complete rest at night increase intake of protein, iron, and vitamin C to provide nutrients required for hemoglobin production keep a food diary to evaluate dietary intake restrict antacids, tetracyclines, and phosphorous salt
Which precaution must a nurse take when checking the blood pressure of an HIV-positive client?
wear gloves wear a gown use contact precautions wash hands
The nurse is caring for a 7-year-old child who presents to the ED with multiple bruises, a fractured ankle, and cigarette burns on the arms. Which action by the nurse is most appropriate?
ask the parents if they burned the child with cigarettes ask the client to tell you what happened to cause the bruising and burns inform the parents that they cannot leave with the child until they talk to the police notify the charge nurse immediately so that the suspected child abuse can be reported
A client has been admitted to the oncology unit and has a large amount of cash, several credit cards, and several pieces of expensive-looking gold jewelry in her possession. Which action by the nurse is most appropriate?
tell the client to hide everything in her purse or a bag and put it in the closet offer to take her belongings to the charge nurse’s office where they can be locked up suggest that the client put her valuables in a sock and place it in the bottom of the bedside table under…
The nurse is preparing to transfer a client from the ICU to the floor. Which of the following ensures continuity of care for the client? Select all that apply.
using approved abbreviations in documenting care providing report on the client using standard hand-off reports informing the receiving nurse of pending lab results and when they are expected informing the receiving nurse of any care that needs to be done, such as bathing telling the receiving nurse that the family is demanding and asks too…
A newly graduated nurse is working in the pediatric unit. Which client assignment is most appropriate for this nurse?
a 2-year-old with hemophilia A who has suddenly become less responsive a 15-year-old with sickle cell disease complaining of lower right quadrant abdominal pain a 6-year-old who just had a tonsillectomy 2 hours earlier and is frequently swallowing a 12-year-old with newly diagnosed type 2 diabetes whose parents need teaching on insulin
The nurse is caring for clients on a medical-surgical floor. Which tasks related to pain management can be delegated to unlicensed assistive personnel (UAP)? Select all that apply.
assessing the pain level on a scale of 1 – 10 reminding clients to report pain immediately reporting facial grimacing in unresponsive clients asking clients directly, “Are you having any pain right now?” giving acetaminophen (Tylenol) after the nurse obtains the medication but is interrupted to attend a code blue before she administers it
The nurse is working triage in the ED when four clients present at the same time. Which client should be seen first ?
a 45-year-old female on oral contraceptives with unusually heavy menstrual bleeding a 24-year-old with a dog bite to the leg from the family dog who is current on rabies shots an irritable 4-month-old with a petechial rash, nuchal rigidity, and temperature of 103.4°F a 16-year-old football player with a twisted ankle who has no deformity…