RN Concept-Based Assessment Level 1 A Test Bank Questions And Answers/Rated A+

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RN Concept-Based Assessment Level 1 ATest Bank, Latest • A nurse is admitting a client who has pulmonary tuberculosis. Which of the followingtransmission-based precautions should the nurse initiat e... ? • Airborne • Rationale: Pulmonary tuberculosisis an infection that is transmitted by airbornedroplets smaller than 5 microns in diameter. Therefore, this client requires airborne precautions to prevent communicating this infection to others • A nurse in a mental health facility is preparing an educational program for a group ofstaff nurses about the proper use of restraints. Which of the following information should the nurse plan to include? • An adult client may be in a mechanical restraint for up to 4 hours • Rational: The nurse should specify that a client who is 18 years or older may be in a restraint for no more than 4 hr. Children who are 9 to 17 years old are limited to 2 hr and children who are younger than 9 years old are limited to 1 hr • A nurse is teaching sleep hygiene to a client who has insomnia. Which of the followingstatements should the nurse make? • Exercise in the morning after arising • Rationale: Daily exercise has many benefits, including enhancing cardiovascular,psychological, and musculoskeletal health. The nurse should recommend that the client avoid exercising within 2 hr of bedtime to limit stimulation and enhance sleep • A nurse is preparing to leave the room of a client who is on isolation precautions. Whichof the following actions should the nurse take when removing a tied surgical mask? • Remove the mask by securely holding the ties and moving it away from the face • Rationale: The nurse should untie the bottom strings and then the top strings.Finally, while still holding the strings, the nurse should remove the mask fromher face. This action prevents the nurse from touching the front of the mask, which is contaminated • A nurse is caring for an adolescent client who is in critical condition following a motor vehicle crash in which he was the passenger. The client's parent shouts at the nurse, asking why her son is dying instead of the driver. Which of the following actions shouldthe nurse take to provide emotional support to the parent? • Inform the parent that anger is a natural response when dealing with loss • Rationale: The nurse should identify that the parent is in the anger stage of grief.The nurse should assist the parent to understand that anger is a natural response to loss and encourage her to talk about her feelings • A community health nurse is planning prevention strategies for hypertension amongmembers of her community. The nurse should identify that which of the following ethnic groups in the community is at greatest risk of developing hypertension? • African Americans • Rationale: Evidence-based practice indicates that individuals of African-Americanethnicity have the highest prevalence of hypertension. Therefore, the nurse should identify community members of this ethnicity are at greatest risk of developing hypertension. • A community health nurse is planning interventions to promote Healthy People 2020 initiatives in the community. Which of the following actions should the nurse plan totake first? • Determine the level of health equity among groups in the community • Rationale: Health equity among all groups in the community is a Healthy People 2020 initiative. Using the nursing process, the first action the nurse should take isto assess the needs of the community. By identifying disparities in community health, the nurse can develop interventions targeted at the community's specificneeds. • A nurse is reviewing a client's new prescriptions that were just documented in the client's medical record by the provider. Which of the following abbreviations should thenurse clarify with the provider? • Enoxaparin 40 mg SQ QD • Rationale: The nurse should clarify this prescription with the provider. The abbreviations "SQ" and "QD" are considered errorprone and should not be usedin documentation. The nurse should clarify that the provider intends the prescription to be administered subcutaneously once daily. "Subcutaneous" or "subcut" should be used instead of "SQ" and "daily" should be used instead of "QD." • A nurse is talking with a client who has major depressive disorder. The client states, "Nobody cares if I'm around or not." Which of the following responses should the nursetake? • It sounds as though you’re feeling hopeless • Rationale: This statement by the nurse is an example of restating, which is atherapeutic response. This technique restates the main idea the client has expressed and allows the client to clarify any misunderstanding. [Show More]

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