HESI MODULE 6 EXAMS WITH 100% GUARANTEED PASS Contact precautions are initiated for a client with methicillin -resistant Staphylococcus aureus (MRSA) infection. What does the nurse, providing instructions to a nursing assistant about caring for the client, tell the assistant? 1. To transfer the client to a semiprivate room 2. That gloves only are needed to care for the client 3. To wear gloves and a gown when changing the client's bed linen. 4. To wear a gown wh en caring for the client and remove the gown immediately after leaving the client's room 3. To wear gloves and a gown when changing the client's bed linen. The mother of a 3 -year -old calls a neighbor who is a nurse and reports that her child just drank som e window cleaner that had been stored in a cabinet. What should the nurse instruct the mother to do immediately? 1. Call a poison control center 2. Administer an excessive amount of fluids to induce vomiting 3. Call an ambulance to bring the child to the e mergency department 4. Leave a message on the primary health care provider's answering service about the incident 1. Call a poison control center A hurricane is forecast to make landfall in 48 hours, and the staff of the emergency department of an area hospital is advised to prepare for causalities. Which action should the nurse manager who receives the telephone call regarding this warning take fir st? 1. Activate the agency disaster plan 2. Supply the triage rooms with additional equipment 3. Increase the number of nursing staff for the day on which the hurricane is expected 4. Call the hospital maintenance department to secure the building against the storm 1. Activate the agency disaster plan A home health nurse has instructed a client about safety measures during the use of an oxygen concentrator in the home. Which statement by the client indicates to the nurse that the client understands the dire ctions? Select all that apply. 1. "I need to follow the oxygen prescription exactly." 2. "I can use my electric razor while I'm using oxygen." 3. "I have to keep the oxygen concentrator out of direct sunlight." 4. "I need to keep the oxygen concentrator as close to the wall as possible or put it in a corner." 5. "I have to tell everyone that they can't smoke or have an open flame within 10 feet (3 meters) of the oxygen concentrator." 1. "I need to follow the oxygen prescription exactly." 3. "I have to keep the oxygen concentrator out of direct sunlight." 5. "I have to tell everyone that they can't smoke or have an open flame within 10 feet (3 meters) of the oxygen concentrator." A nurse is providing instructions to a nursing assistant who will be caring for a client in hand restraints. How often does the nurse instruct the nursing assistant to release the restraints to permit muscle exercises? Every 2 hours Every 3 hours Every 4 hours Every 30 minutes Every 2 hours A community health nurse working in a school setting is concerned because parents are not participating in health activities designed to promote child safety. What is the most appropriate initial action for the nurse to take? 1. Implementing a child safety program 2. Planning a focused child safety program 3. Performing an analysis of health problems related to child safety 4. Determining the appropriateness of the planned health activity 4. Determining the appropriateness of the planned health activity The nurse administers a dose of ramipril 2.5 mg to a client at 9 am. While documenting administration of the medication, the nurse discovers that 1.25 mg, not 2.5 mg, was the prescribed dose. The nurse assesses the client, completes an incident report, and no tifies the primary health care provider and nursing supervisor of the error. What statement does the nurse add to the client's record? 1. An incident report was completed and filed. 2. Ramipril 2.5 mg was administered at 9 am. 3. Twice the amount of the pr escribed ramipril was administered at 9 am. 4. Client's blood pressure was 128/82 mm Hg after the administration of the incorrect dose of ramipril. 2. Ramipril 2.5 mg was administered at 9 am. A home health nurse has been called to the home of an older pos toperative cardiovascular client by the client's son. The son tells the nurse, "We're using a hospital bed here at home, but my mother has fallen out of bed three times." Which observation by the nurse reflects an increased risk of this client's falling out of bed? 1. The client's bed is in a low position. 2. The client is oriented to person, place, and time. 3. The caregiver uses the overbed table for feedings. 4. The caregiver leaves both side rails down while the client is in bed. 4. The caregiver leaves both side rails down while the client is in bed. A community health nurse is providing information to local residents about the transmission of anthrax. Through which body systems does the nurse tell the residents that anthrax can be contracted? Select al l that apply. Immune Urinary Lymphatic Respiratory (Lungs) Gastrointestinal Integumentary System (Skin) Respiratory Gastrointestinal Integumentary A nurse is preparing a chemotherapy infusion to be administered to a client with a diagnosis of Hodgkin's dis ease. Which precaution should the nurse take while working with this intravenous (IV) infusion? 1. Wearing gloves and a mask 2. Wearing gloves and a gown 3. Wearing gloves, a mask, and eye protection 4. Wearing gloves, a mask, and a head covering 3. Wearin g gloves, a mask, and eye protection A nurse is preparing a continuous intravenous (IV) infusion at the medication cart. As the nurse goes to attach the IV tubing port to the solution bag, the tubing drops, hitting the top of the medication cart. Which action should the nurse take to maintain asepsis? 1. Obtain new IV tubing 2. Obtain a new IV solution bag 3. Scrub the tubing port with an alcohol swab 4. Wipe the tubing port with povidone -iodine solution 1. Obtain new IV tubing A home health nurse is visiting a client with tuberculosis (TB). W hich action by the client tells the nurse that the client understands the necessary respiratory precautions to be taken at home? 1. Staying secluded in the bedroom 2. Wearing an oxygen mask at all times 3. Keeping the house closed up to minimize the spread of disease 4. Disposing of contaminated tissues in a container with a leak -proof bag
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