A The nurse is preparing a hepatitis

A The nurse is preparing a hepatitis teaching program. Which individual has the greatest need for teaching about prophylactic hepatitis B immunization A salesperson who travels internationally and eats food in foreign countries. A restaurant chef who was diagnosed one year ago with hepatitis A. An office worker who requires hemodialysis for chronic kidney disease (CKC). A child daycare worker who has a history of type 2 diabetes mellittus. B The nurse is planning a class about blood glucose monitoring for a group of clients with diabetes mellitus. Which timing of glucose testing would apply for any client regardless of the client’s age or type of diabetes? Immediately after meals. During acute illness Prior to exercising. Before going to bed. C The nurse is preparing discharge instructions for a client who was hospitalized with a severe exacerbation of asthma. Which instruction is most important for the nurse to review with the client? Increase the daily intake of clear fluids. Take the prescribed cortisone accurately. Keep clear of smoke and exhaust fumes. Avoid extreme environmental temperatures. D The nurse is assessing a 3-month-old infant who had a pleurotomy yesterday. This child should be medicated for pain based on which findings? (Select all that apply) Clenched fists. Peripheral pallor of the skin. Increased pulse rate. Increased temperature. Restlessness. Increased respiratory rate. E An older client is referred to a rehabilitation facility following a cerebrovascular accident (CVA) The client is aphasic with left side paresis Swallowing Which intervention is most important for the nurse to include in the client’s plan of care? Initiate passive range of motion exercises. Facilitate a consultation for speech therapy. Arrange for daily home care assistance. Use pictures and gestures to communicate. F The home health nurse makes a home visit to a male client with amyotrophic lateral sclerosis (ALS). The client is sitting upright while feeding himself and coughs frequently during the meal. What action should the nurse implement? Recommend the use of supplemental liquid feedings Encourage the use of assistive feeding devices. Demonstrate use of a tucked-chin position while eating. Assisting the client to lie down and turn to the side. G When canning for a client with full-thickness bums to both lower extremities, which assessment findings warrant immediate intervention by the nurse? (Select all that apply) Weeping serosanguineous fluidfrom wounds. Change in the quality of the peripheral pulses. Loss of sensation to the left lower extremity. Complaint of increased pain and pressure. Sloughing tissue around wound edges. H A client with metastatic cancer who was taking hydromorphone by mouth at home is now receiving the medication intravenously while in the hospital. To evaluate if the client is receiving an equianalgesic dose of the hydromorphone, which assessment should the nurse complete? Blood pressure. Respiratory rate. Level of consciousness. Pain scale. I A client with foul-smelling drainage from an incision on the upper left arm is admitted with a suspected methicillin-resistant staphylococcus aureus (MF which nursing interventions should the nurse include in the plan of care? (Select all that apply) Monitor the client’s white blood cell count. Use standard precautions and wear a mask. Explain the purpose of a low bacteria diet. Send wound drainage for culture and sensitivity. Institute contact precautions for staff and visitors. J When leaching a group of school-aged children how to reduce the risk for Lyme disease, which instruction should the camp nurse include? Avoid drinking lake water. Wash hands frequently. Wear long sleeves and pants. Do not share personal products. K The nurse is preparing to send a client to the cardiac catheterization lab for an angioplasty. Which client report is most important for the nurse to explore further prior to the start of the procedure? Experiences facial swelling after eating crab. Verbalizes a fear of being in a confined space. Drank a glass of water in the past 2 hours. Reports left chest wall pain prior to admission L An older client with Alzheimer’s disease is confused and asking the nurse to call their mother who is decreased. Which nonpharmacological intervention should the nurse implements? Reduce the client’s interaction with others during day. Awake the client for reality checks every 4 hours at night. Use distraction and therapeutic communication skills. Clarify reality with the client about delusional thoughts. M A client at 42-weeks gestation arrives at the labor and delivery unit for a scheduled induction but refuses the prescribed oxytocin infusion because she wants to have a natural delivery. Which action is most important for the nurse to implement? Discuss the character of labor from endogenous vs exogenous oxytocin. Discuss alternative ways to support the client’s birth plan. Explain the indications for induction related to post-term pregnancy. Ask the healthcare provider to discuss the issue with the client. SCIENCE HEALTH SCIENCE NURSING NURSING MEDICAL SU

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