Question

34. Which information about a client who has meningococcal meningitis is the best indicator that you can discontinue droplet precautions? a. Pupils are equal and reactive to light. b. Appropriate antibiotics have been given for 24 hours. c. Cough is productive of clear, nonpurulent mucus. d. Temperature is lower than 100°F (37.8° C). 35. A client with atrial fibrillation is ambulating in the hallway on the coronary step-down unit and suddenly tells you, "I feel really dizzy." Which action should you take first? a. Help the client to sit down. b. Check the client's apical pulse. c. Take the client's blood pressure. d. Have the client breathe deeply. 36. The LPN/LVN whom you are supervising comes to you and says, "I gave the client with myasthenia gravis 90 mg of neostigmine (Prostigmiin) instead of the ordered 45 mg!" In which order should you perform the following actions? 1. Check the client's heart rate. 2. Complete a medication error report. 3. Ask the LPN/LVN to explain how the error occurred. 4. Notify the physician of the incorrect medication dose. a. 4, 2, 1,3 b. 3, 1, 2,4 c. 1, 4, 3, 2 d. 2, 3, 4, 1 37. A patient has newly-diagnosed type 2 diabetes. Which task should you delegate to a UAP? a. Arranging a consult with the dietitian b. Assessing the patient's insulin injection technique c. Teaching the patient to use a glucometer to monitor glucose at home d. Reminding the patient to check glucose level before each meal 38. A nursing diagnosis for a patient with newly-diagnosed diabetes is Risk for Injury related to sensory alterations. Which key points should you include in the teaching plan for this patient? Select all that apply. a. "Clean and inspect your feet every day." b. "Be sure that your shoes fit properly." c. "Nylon socks are best to prevent friction on your toes from shoes." d. "Only a podiatrist should trim your toenails. e. "Report any non-healing skin breaks to your health care provider." 39. The plan of care for a diabetic patient includes all of these interventions. Which intervention should you delegate to a UAP? a. Checking to make sure that the patient's bath water is not too hot b. Discussing community resources for diabetic outpatient care c. Teaching the patient to perform daily foot inspection d. Assessing the patient's technique for drawing insulin into a syringe

Answer 1

34.Best indicator you discontinue droplet precautions?

c)cough is productive of clear,non purulent mucus.

Reason-if the cough is productive and non purulent ,it cannot pass to another individual maximally,so you can discontinue droplet infection.

35.which action should you take first? In client with atrial fibrillation.

d.have the client breathe deeply.

reason-a breath and a cough must be repeated about every two seconds without let up,until help arrive or until the heart is felt to beating normally.another things also yoga help in that breathing,it help to relax the atrial fibrillation.

36.which order should perform following action?

C)1,4,3,2

1-check the client heart rate.

4-notify the physician of incorrect medication dose.

3-ask the LPN/LVN to explain the error occurred.

2-complete medication report error.

37.which task you delegate to UAP?with patient have diabetes

d)reminding the patient to check glucose level before each meal.

reason- by checking the glucose level,you can control the diabetes.

38.

a-clean and inspect your feet everyday.

b- be sure that your shoes fit properly.

c-nylon socks are best to prevent friction on your toes from shoes.

e-report any non healing skin breaks to your health care provider.

39.which intervention you should delegate to UAP?

a)checking to make sure that the patient bath water is not too hot.

reason-UAP are mainly aiming the treatment by traditional methods,they are not involving in the insulin injections technique and modern technique level.