A nurse needs to check the vital signs of a client with an infectious disease who is receiving intravenous therapy through an IV pump. Before entering the client's room, the nurse follows airborne and contact precautions
Which of the following infectious diseases does the client have? A) Severe acute respiratory syndrome (SARS)
B) Scabies
C) HIV
D) Chlamydia
A
Feedback:
The client has SARS. Infectious diseases like chickenpox (varicella) and SARS require both airborne and contact precautions. HIV, chlamydia, and scabies do not require this combination or precautions.
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A patient is receiving hydrocortisone 40 mg PO daily for treatment of severe autoimmune inflammation. Which of the following nursing interventions is most important to implement?
A) Increase dietary sodium. B) Limit dietary protein. C) Assess BUN and creatinine regularly. D) Implement infection control measures.
Which statement illustrates an example of a type of diagnosis amenable to a nursing inter-vention?
A. Potential complication: hemorrhage B. Pattern of acute nausea and vomiting C. Ineffective breathing pattern D. Acute complication: sepsis
A 26-year-old multigravida who is 28 weeks pregnant and follows a program of regular exercise develops gestational diabetes. What instructions should be included in a teaching plan for this client?
1. "Carry hard candy (or other simple sugar) when exercising." 2. "If your blood sugar is 120 mg/dL, eat 20 g of carbohydrate." 3. "Exercise either just before meals or wait until 2 hours after a meal." 4. "If your blood sugar is more than 120 mg/dL, drink a glass of whole milk."
What is the priority nursing action while caring for a client on a ventilator when an electrical fire occurs in the intensive care unit?
A. tell another staff member to bring extinguishing equipment to the bedside B. implement an emergency protocol to remove the client from the ventilator C. use a bag-valve-mask resuscitator while removing the client from the area D. close the doors to the client's area when attempting to extinguish the fire