question

home care nurse visits a client diagnosed with aids

answer

Soiled linens are placed in a laundry hamper

question

nurse identifies which client is MOST likely to have latex hypersensitivity

answer

a client diagnosed with spina bifida

question

Nurse counsels a client diagnosed w/iron deficiency anemia. nurse determines teaching is effective if client selects which menu

answer

flank steak, green leafy veggies and prunes

question

client has prophylactic reaction to antibiotic. it's important for the nurse to take which action after notifying the health care provider?

answer

give epinephrine subcutaneously

question

Nurse cares for client diagnosed w/polycythemia vera, The nurse expects to make which observation

answer

dark, flushed face

question

Nurse teaches disease prevention. Student states "I have heard the term incubation period" but I do not know what it means. What is it exactly?

answer

Incubation period is the time between when a person gets infected & when actual symptoms appear

question

Nurse cares for sickle cell crisis patient. Child of patient has upper respiratory infection. The nurse will:

answer

give the child a mask to wear when visiting the client

question

Nurse prepares Schilling test. Which info is important for client to know before starting the test?

answer

how to collect a 24 hour urine

question

Nurse reviews the health care provider's orders for a client diagnosed with hemophillia. It is important for the nurse to question which order?

answer

meperidine 75mg IM q 4 hr prn for severe pain

question

Nurse counsels a client w/fatigue & shortness of breath due to AIDS. Which action is most important

answer

instruct the client to sit while preparing meals

question

After bone marrow aspiration, nurse notes client has temp of 103 degrees & there is yellow drainage from aspiration site. What interpretation is most accurate?

answer

the client has developed osteomyelitis

question

The parents of a newly circumcised infant are informed that their child has hemophillia. One parent cries & says child will "bleed to death" one parent says "give me the facts". What is the MOST important info to give first

answer

the availability of replacement therapy of clotting factors

question

The nurse understands which is the MOST common type of anemia

answer

iron deficiency anemia

question

The nurse understands that hematocrit measures which of the following?

answer

ratio of red blood cells to fluid volume

question

Which of the following symptoms indicates to the home health nurse that a client has an infection?

answer

the client has lymphadenopathy

question

The nurse plans discharge for an elderly client diagnosed with anemia. Nurse learns the client lives in two-story house, and the bedrooms are on the 2nd floor. Nurse should ask:

answer

where do you plan to sleep

question

Nurse cares for client w/sickle cell crisis. Nurse determines care is appropriate if which observation is made?

answer

the client's intake is 1600 ml for 8 hours

question

Nurse understands which best describes what clients diagnosed with disseminated intravascular cogulation (DIC) experience?

answer

hemorrhage and clotting

question

Nurse cares for clients on medical/surgical unit. Nurse identifies which client have a disease that is considered autoimmune

answer

the client diagnosed with multiple sclerosis

question

Nurse cares for client diagnosed with confusion due to AIDS dementia complex. It is most important for the nurse to take which action?

answer

give the client simple directions

question

Young adult diagnosed w/hemophilla bumps his knee and develops painful swelling of the knee. in caring for the client which action is most appropriate for the nurse to take initially?

answer

apply ice to the knee and elevate the leg

question

Nurse cares for a client diagnosed with AIDS reporting diarrhea. It is most important for the nurse to include which implementation in the client's plan of care?

answer

decrease roughage in the diet

question

School nurse teaches a wellness class to a group of high school students. The nurse intervenes if a student makes which statement?

answer

i'm not going to use public toilets ever again

question

Nurse performs diet teaching for a client w/iron deficiency anemia. Nurse determines teaching is successful if client selects which menu?

answer

liver and onions, spinach, and rice pudding with raisins

question

Nurse obtains history from client admitted w/a diagnosis of sickle cell crisis. The nurse identifies which factor contributed to the sickle cell crisis?

answer

client recently had an upper respiratory infection

question

The nurse makes a home care visit to an elderly client diagnosed with iron deficiency anemia. The client states that even though an "iron pill is taken daily the client is feeling more and more fatigued. Which action does the nurse take first?

answer

Obtain a stool specimen to test for occult blood

question

Client ask nurse how long the client will need injections of vitamin b12. Which response by nurse is best?

answer

for the rest of your life

question

Nurse cares for a client diagnosed with immune thrombocytopenia purpura. Which nursing diagnosis is priority when caring for this client?

answer

risk for injury

question

The spouse of a client diagnosed with pemicious anemia ask why vitamin b12 can't be given in pill form. Which response by the nurse is best?

answer

your spouse's stomach doesn't secrete the necessary substance for b12 to be adsorbed orally

question

Nurse in hematology clinic prepares a class series on immunologic disease for new clients. Which organs should the nurse describe as being considered part of the immune system of the body?

answer

spleen and thymus

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