Question

1. A nurse is admitting an older adult client who is transferring from another facility. The nurse notes pressure ulcers on the client’s coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspicions of elder abuse?

1. Contact the family regarding the client’s condition.
2. Notify risk management.
3. Privately interview the client about her condition.
4. Inform the transferring agency of the client’s condition.

2. A nurse is caring for a client who is experiencing expressive asphasia and righ hemiparesis following a cerebrovascular accident. Which of the following actions by the nurse best promotes communication among staff caring for the client?

1. Noting changes in the treatment plan in the client’s medial record
2. Recording the client’s progress in the nurses’ notes
3. Posting swallowing precautions at the head of the client’s bed
4. Having interdisciplinary team meeting for the client on a regular basis.

3. A nurse is caring for a client who has an indwelling catheter. Which of the following actions should the nurse take to provide catheter care?

1. Empty the collected urine once every 24 hr.
2. Hang the drainage bag on a bed rail.
3. Provide perineal hygiene after defecation
4. Change the indwelling catheter every 8 hr.

4. A nurse is assisting a client who has acute glomerulonephritis to choose menu items for breakfast. Which of the following food choices should the nurse recommend?

1. Eggs
2. Banana
3. Smoked salmon
4. Bagel

5. A newly licensed nurse working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention?

1. Helping client understand health screening covered by their insurance plans.
2. Using an electronic messaging system to remind clients when to take medications.
3. Educating clients about contraindications to specific immunizations
4. Providing clients with information about the benefits of exercise.

Answer 1

Ans-a contact family regarding patient condition

Ans-c posting swallowing precautions on client bed

Ans-c provide perineal hygiene after defecation

Ans-b banana is fruits and these are recommended

Ans-c contraindication to some specific immunization