When examining a client, the nurse remembers to follow which principle of Standard Precautions?
a. Wearing gloves throughout the entire examination
b. Wearing gloves when contact with the client's mucous membranes is possible
c. Wearing gloves to reduce the need for handwashing
d. Wearing eye protection and a gown during the examination
ANS: B
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A nurse cares for a client who is recovering from a parathyroidectomy. When taking the client's blood pressure, the nurse notes that the client's hand has gone into flexion contractions
Which laboratory result does the nurse correlate with this condition? a. Serum potassium: 2.9 mEq/L b. Serum magnesium: 1.7 mEq/L c. Serum sodium: 122 mEq/L d. Serum calcium: 6.9 mg/dL
The nurse is concerned that a client is experiencing health problems caused by a nutritional imbalance. Which action should the nurse take first?
a. Add snacks to the client's menu selections b. Contact the registered dietitian for assistance c. Offer liquid nourishment supplements between meals d. Suggest the health care provider prescribe vitamin supplements
The nurse provides instructions about postoperative exercises to the patient who is scheduled for a laparotomy. What does the nurse include in patient teaching?
a. Flex and extend the knees several times every few hours. b. Cough and deep breathe at least once every day. c. Repeat range-of-motion exercises twice. d. Reposition in bed every 4 hours.
When planning assignments for a pediatric unit, the charge nurse should not assign a pregnant nurse to a child receiving:
a. acyclovir. c. ribavirin. b. vidarabine. d. zidovudine.