1. A person or animal that harbors a specific infectious agent and serves as a potential
source of infection yet does not manifest any clinical signs of the disease is a:
a. Carrier ( does not have any s/s)
b. Reservoir. ( show s/s in order to be considered
c. Vector.( object/ infectious agent w/in animal, NOT people)
d. Parasite. ( worms - Answers-Carrier
does not show s/s
2. The nurse is providing discharge instructions for a client with a wound that requires
daily dressing changes. How will the nurse know that the client understands the
instructions?
a. The client demonstrates the dressing change.
b. The client's wound heals.
c. The client verbalizes the importance of eating a well-balanced diet.
d. Client can verbalize the difference between medical asepsis and surgical asepsis. -
Answers-Client demonstrate the dressing change.
The best way to make sure a person understant what taught is make the re-do the
samething
3. A patient prefers to remain in the low Fowler's position the majority of the time. The
nurse understands that the greatest potential problem associated with low Fowler's
position is:
a. Pressure on the ischial tuberosities of the pelvis
b. Dorsiflexion contractures of the feet
c. External rotation of the hips
d. Adduction of the legs - Answers-Pressure on the ischial tuberrosities of the pelvic-
intense stress @ the pelvic area= may cause PRESSURE ULCER
4. Which precautions should be implemented when there are clients with wound
infections?
a. Standard precautions.
b. Contact precautions.
c. Droplet precautions.
d. Airborne precautions. - Answers-Contact precaution- core of contact: try to prevent
infection that spread to touch from one-another MRSA, pneu. kendy farts
airborne
Standard
5. A client with active TB is scheduled for a bronchoscopy in the pulmonary department.
Which nursing action would be most appropriate for transporting this client there?
, a. The nurse should place a particulate respirator mask on the client while transporting
her to the pulmonary department.
b. The nurse and all persons who may come in contact with the client (including other
clients in hallways) should wear a particulate respirator mask.
c. No specific action is required because TB cannot be transmitted to others in the
amount of time it will take to transport the client.
d. The nurse should wear a gown, gloves and a mask when transporting the client. -
Answers-the nurse should place a particulate respirator mask on the client while
transporting her to the pulmonary department
= since TB is contagous so nitrogen mask will have to be used.
6. The nurse is assigned to care for a 78-year-old client who has debilitating Parkinson's
disease. The nurse's morning assessment indicates the client has reddened skin over
his coccyx. To prevent further breakdown of the skin, what should the nurse do?
a. Position the client's bed in high-Fowler's and apply a bed cradle.
b. Change the client's position frequently, and provide nutritional supplements.
c. Ensure that the client has adequate protein in his diet, and massage the reddened
area.
d. Change the linens twice a day, and insert a urinary retention catheter. - Answers-
Change the client's position frequently, and provide nutritional supplements.
= change position to prevent Ulcer.
7. The nurse is assessing a patient with a respiratory problem. Which is the most
reflective of an early adaptation to hypoxia?
a. Apnea
b. Cyanosis= blue color due to lack of 02
c. Restlessness
d. Dysrhythmias - Answers-Restlessness
= indication of EARLY stages. Older pt tend to have confusion with this.
8. The nurse in the PACU is monitoring several patients who received general
anesthesia. Which patient adaptation causes most concern?
a. Pain
b. Stridor- harsh, breathing sound.
c. Lethargy-tired.
d. Diaphoresis- sweeting - Answers-Stridor- harsh, breathing,wheezing sound
Most concern b/c it sounds like something stuck.
In clinical setting STRIDOR is the main MEDICAL EMERGENCY.
9. What kind of dressing and grooming would the nurse do for a client who is semi-
dependent?
a. The client dresses self, and the nurse supervises.
b. The nurse dresses the clients and assists in zipping or buttoning clothing.
c. The nurse combs the client's hair and assists with the dressing.
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