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Questions 164

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Extract:

Laboratory reference ranges
WBCs
5000–10,000/mm3
(5–10 × 109/L)
Hemoglobin
Male: 14.0–18.0 g/dL
(140–180 g/L)

Female: 12.0–16.0 g/dL
(120–160 g/L)


Question 1 of 5

Which client incident would be classified as an adverse event that requires an incident/event/irregular occurrence/variance report? Select all that apply.

Correct Answer: B,D,E

Rationale: Medication error , failure to report hemoglobin , and failure to notify about blood culture are reportable adverse events. Sepsis death and vaccine refusal are not necessarily preventable errors.

Extract:


Question 2 of 5

The nurse is observing a nursing assistant providing care. Which action indicates that the nursing assistant understands universal precautions?

Correct Answer: C

Rationale: Wearing a gown for soiled linen contact adheres to universal precautions, preventing contamination. Limited hand washing, excessive gloves, or no hand washing post-gloves are incorrect.

Question 3 of 5

A nurse is teaching the parent of a nine month-old infant about diaper dermatitis. Which of the following measures would be appropriate for the nurse to include?

Correct Answer: D

Rationale: Discontinue a new food that was added to the infant's diet just prior to the rash. New foods can be a cause of diaper dermatitis.

Question 4 of 5

A client who is pregnant at 30 weeks gestation comes to the prenatal clinic. Which of the following vaccines may be administered safely at this prenatal visit? Select all that apply

Correct Answer: A,D

Rationale: Influenza injection and Tdap are safe and recommended in pregnancy. Nasal spray , MMR , and varicella are live vaccines, contraindicated in pregnancy.

Question 5 of 5

The nurse is reinforcing teaching about breastfeeding to a postpartum client. Which statement by the client indicates a correct understanding of teaching?

Correct Answer: C

Rationale: Breaking suction with a finger prevents nipple trauma. Short feeding times , lying on back , and nipple-only latch are incorrect.

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