Parents of a 7 year-old child call the clinic nurse because their
daughter was sent home from school because of a rash. The child
had been seen the day before by the healthcare provider and
diagnosed with Fifth Disease (erythema infectiosum). What is the
most appropriate action by the nurse?
Tell the parents to bring the child to the clinic for further evaluation
Refer the school officials to printed materials about this viral illness
Inform the teacher that the child is receiving
antibiotics for the rash
D) Explain that this rash is not contagious and does not
require isolation
The correct answer is D: Explain that this rash is not contagious
and does not require isolation
When making a home visit to a client with chronic
pyelonephritis, which nursing action has the highest priority?
Follow-up on lab values before the visit
Observe client findings for the effectiveness
of antibiotics
C) Ask for a log of urinary output
D) As for the log of the oral intake
The correct answer is C: Ask for a log of urinary output
The nurse is caring for a newborn who has just been diagnosed
with hypospadias. After discussing the defect with the parents,
the nurse should expect that
Circumcision can be performed at any time
, Initial repair is delayed until ages 6-8
Post-operative appearance will
be normal
D) Surgery will be performed in
stages
The correct answer is D: Surgery will be performed in stages
The nurse is assessing a client on admission to a community
mental health center. The client discloses that she has been
thinking about ending her life. The nurse's best response would
be
"Do you want to discuss this with your pastor?"
"We will help you deal with those thoughts."
"Is your life so terrible that you want
to end it?"
D) "Have you thought about how you
would do it?"
The correct answer is D: "Have you thought about how you would do
it?"
, The nursing care plan for a client with decreased adrenal function
should include
Encouraging activity
Placing client in reverse
isolation
C) Limiting visitors
D) Measures to prevent
constipation The correct answer
is C: Limiting visitors
The nurse is caring for a client with acute pancreatitis. After
pain management, which intervention should be included in
the plan of care?
Cough and deep breathe every 2 hours
Place the client in contact isolation
Provide a diet high in protein
Institute seizure precautions
The correct answer is A: Cough and deep breathe every 2 hours
Which of the following conditions assessed by the nurse would
contraindicate the use of benztropine (Cogentin)?
Neuromalignant syndrome
Acute extrapyramidal
syndrome
C) Glaucoma, prostatic
hypertrophy
D) Parkinson's disease, atypical tremors
The correct answer is C: Glaucoma, prostatic hypertrophy
, The nurse is caring for a client in the coronary care unit. The
display on the cardiac monitor indicates ventricular fibrillation.
What should the nurse do first?
Perform defibrillation
Administer epinephrine as
ordered
C) Assess for presence of
pulse
D) Institute CPR
The correct answer is C: Assess for presence of pulse
During the use of an interpreter to teach a client about a procedure to
do in the hom
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