A community health nurse is schedule to do home visit. She visits to an
elderly person living alone. Which of the following observation would be a
concern?
o A.
Picture windows
o B.
Unwashed dishes in the sink
o C
...
A community health nurse is schedule to do home visit. She visits to an
elderly person living alone. Which of the following observation would be a
concern?
o A.
Picture windows
o B.
Unwashed dishes in the sink
o C.
Clear and shiny floors
o D.
Brightly lit rooms
42.
After a birth, the physician cut the cord of the baby, and before the baby is
given to the mother, what would be the initial nursing action of the nurse?
Discuss
o A.
Examine the infant for any observable abnormalities
o B.
confirm identification of the infant and apply bracelet to mother and infant
o C.
Instill prophylactic medication in the infant’s eyes
o D.
Wrap the infant in a prewarmed blanket and cover the head
43.
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A 2-year-old client is admitted to the hospital with severe eczema lesions on
the scalp, face, neck and arms. The client is scratching the affected
areas. What would be the best nursing intervention to prevent the client from
scratching the affected areas?
Discuss
o A.
Elbow restraints to the arms
o B.
Mittens to the hands
o C.
Clove-hitch restraints to the hands
o D.
A posey jacket to the torso
44.
The parents of the hospitalized client ask the nurse how their baby might have
gotten pyloric stenosis. The appropriate nursing response would be:
o A.
There is no way to determine this preoperatively
o B.
Their baby was born with this condition
o C.
Their baby developed this condition during the first few weeks of life
o D.
Their baby acquired it due to a formula allergy
45.
A male client comes to the clinic for check-up. In doing a physical
assessment, the nurse should report to the physician the most common
symptom of gonorrhea, which is:
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Discuss
o A.
Pruritus
o B.
Pus in the urine
o C.
WBC in the urine
o D.
Dysuria
46.
Which of the following would be the most important goal in the nursing care of
an infant client with eczema?
Discuss
o A.
preventing infection
o B.
Maintaining the comfort level
o C.
providing for adequate nutrition
o D.
Decreasing the itching
47.
The nurse is making a discharge instruction to a client receiving
chemotherapy. The client is at risk for bone marrow depression. The nurse
gives instructions to the client about how to prevent infection at home. Which
of the following health teaching would be included?
Discuss
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o A.
“Get a weekly WBC count”
o B.
“Do not share a bathroom with children or pregnant woman”
o C.
“Avoid contact with others while receiving chemotherapy”
o D.
“Do frequent hand washing and maintain good hygiene”
48.
The nurse is assigned to care the client with infectious disease. The best
antimicrobial agent for the nurse to use in handwashing is:
o A.
Isopropyl alcohol
o B.
Hexachlorophene (Phisohex)
o C.
Soap and water
o D.
Chlorhexidine gluconate (CHG) (Hibiclens)
49.
The mother of the client tells the nurse, “ I’m not going to have my baby get
any immunization”. What would be the best nursing response to the mother?
Discuss
o A.
“You and I need to review your rationale for this decision”
o B.
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“Your baby will not be able to attend day care without immunizations”
o C.
“Your decision can be viewed as a form of child abuse and neglect”
o D.
“You are needlessly placing other people at risk for communicable diseases”
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