An experienced home health care nurse explains to a client about safety in the community. One difference the nurse emphasizes that home health care has over hospital-based health care is that with home health care (Select all that apply)

a. "always be prepared" is a good motto.
b. disasters can occur while the nurse is in the community.
c. needed help may not be immediately available.
d. the central location of most staff during the day can provide assistance.
e. the nurse is usually on his/her own.


A, B, C, E
Preparedness for multiple risks is necessary while working in the community. Options a, b, c, and e are some examples of how safety is different in the community versus in a hospital setting. Staff may be dispersed throughout the community and may not be available for assistance.

Nursing

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Intraoperatively, the circulating nurse observes a member of the surgical team breach aseptic technique. As a result of this incident the postoperative patient can be at risk for which of the following?

a. Paralytic ileus b. Malignant hyperthermia c. Development of infection d. Alteration in pulmonary hygiene

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A client has been ill for 4 days and was diagnosed with bubonic plague. The nurse expects to note which of the following symptoms in this client? (Select all that apply)

a. painful, swollen lymph nodes in the chest b. fever and chills c. headache d. malaise e. extreme exhaustion f. bloody or watery sputum

Nursing

An older adult patient is being assessed for skin turgor. The nurse identifies decreased skin turgor demonstrated by slow return of the skin to the previous position after being grasped and raised. The nurse recognizes this could be caused by:

a. dehydration. b. edema. c. skin breakdown. d. malnutrition.

Nursing

A nurse is caring for a client in isolation. What guideline should the nurse follow when taking the vital signs of the client in the isolation room?

A) Bring items from outside into the isolation room. B) Wear gloves and other personal protective equipment as indicated. C) Use unit thermometers and stethoscopes. D) Choose oral temperature measurement over rectal.

Nursing