NURSING > EXAM > LEADERSHIP PRACTICE STUDY GUIDE.Qs,As &Rationale (All)

LEADERSHIP PRACTICE STUDY GUIDE.Qs,As &Rationale

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1. A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse use while caring for this client? A. Airborne Ratio ...

1. A nurse is caring for a client who has had an allogeneic hematopoietic stem-cell transplant. Which of the following infection-control precautions should the nurse use while caring for this client? A. Airborne Rationale: Clients who have varicella and other infections such as rubeola and tuberculosis require airborne precautions. B. Protective Rationale: Clients whose immune system is compromised, such as from chemotherapy, AIDS, or after a stem-cell transplant, require a protective environment. C. Contact Rationale: Clients who have infections such as herpes simplex, respiratory syncytial virus, and methicillin-resistant Staphylococcus aureus require contact precautions. D. Droplet Rationale: Clients who have streptococcal pharyngitis and other infections such as rubella and diphtheria require droplet precautions. 2. A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented? A. “I will begin 48 hr before the client’s discharge.” Rationale: Effective discharge planning must begin upon admission of the client, not 48 hr before discharge. B. “I will begin once the client’s discharge order is written.” Rationale: Effective discharge planning must begin upon admission of the client, not once the discharge order is written. C. “I will begin upon the client’s admission to the facility.” Rationale: Effective discharge planning must begin upon admission of the client to the facility. D. “I will begin once the client’s insurance company approves discharge coverage.” Rationale: Effective discharge planning must begin upon admission of the client, not once the client’s insurance company approves discharge coverage. 3. A nurse has completed an informed consent form with a client. The client then states, “I have changed my mind and do not want to have the procedure done.” Which of the following actions should the nurse take? A. Remind the client that a signed informed consent form is a legally binding document. Rationale:

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