A nurse preparing incoming storm. Which of the fol

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Question 1 of 5

A nurse preparing incoming storm. Which of the following clients should the nurse recommend for discharge planning?

A. A child who has leukemia and an absolute neutrophil count of 200/mm3 (2.500 to 8.000/mm%) B. A child who has a new diagnosis of type diabetes mellitus and is receiving IV insulin C. An adolescent who has cystic fibrosis and is receiving their yearly tune-up D. An infant who has respiratory syncytial virus and respiratory rate of 70/min

Correct Answer: B

Rationale: A new diabetes diagnosis requires education for home management, making discharge planning appropriate.

Question 2 of 5

A nurse is a long-term care facility is caring for a client who has methicillin-resistant Staphylococcus aureus (MRSA). Which of the following actions should the nurse take?

A. Ensure that the negative air pressure is active for the client's room B. Place the client in a room with a high-efficiency particulate air (HEPA) filter. C. How the client wear a mask when they are out of their D. Don gloves prior to assisting the client with brushing their teeth.

Correct Answer: D

Rationale: Gloves prevent contact transmission of MRSA during direct care activities.

Question 3 of 5

A nurse is assigned to care for several clients on a mental health unit. One of the clients who has suicidal ideation starts to verbalize clear intent to self harm. Which of the following actions should the nurse take?

A. Request the client's caregivers to remain with the client. B. Notify the supervisor that the client requires one to one nursing observation C. Assign the client to, a private room. D. Increase the frequency of client assessment to hourly.

Correct Answer: B

Rationale: One-to-one observation ensures immediate safety for a client with active suicidal intent.

Question 4 of 5

A nurse is reinforcing teaching with a client who is to have plaster cast applied to his right arm. Which of the following information should the nurse include the teaching?

A. The client should use a hair dryer on a warm setting to relieve itching inside the cast. B. The client can shower with the cast after 24 hr. C. The client's extremity should be elevated after the cast applied. D. The client should keep the cast covered until it is dry

Correct Answer: C

Rationale: Elevating the extremity reduces swelling, promoting healing post-cast application.

Question 5 of 5

A nurse is caring for a client who is 12 hr postpartum and has deep-vein thrombosis of the left leg. The client is receiving anticoagulant therapy. Which of the following actions should the nurse take?

A. Administer aspirin for pain. B. Initiate bed rest. C. Massage the affected extremity every 4 hr. D. Apply an ice pack to the affected extremity for 20 min every 2 hr.

Correct Answer: D

Rationale: Ice packs reduce swelling and discomfort in DVT without risking clot dislodgement.

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PN Comprehensive Predictor 2023 Questions

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