A community health nurse is reviewing the medical records of four newly diagnosed clients. The nurse should identify which of the following clients as having a nationally notifiable infectious condition?

A client who is pregnant and has cytomegalovirus (CMV)

An adolescent client who has foodborne botulism

A child who has erythema infectiosum

A young adult client who has herpes simplex virus type 1 (HSV-1)

Answer and Explanation

The Correct Answer is B

A. Cytomegalovirus (CMV) is not nationally notifiable, though it can have significant effects, especially in pregnant women.

B. Foodborne botulism is a nationally notifiable condition due to its potential for widespread outbreaks and severe health consequences.

C. Erythema infectiosum, or fifth disease, is not a nationally notifiable disease, although it is recognized in clinical settings.

D. Herpes simplex virus type 1 (HSV-1) is common and not considered a nationally notifiable infectious disease.

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Correct Answer is B

Explanation

A. While assessing pain level is important for comfort management, it is not the highest priority in the immediate postpartum period.

B. The amount of vaginal bleeding is critical to assess during the fourth stage of labor to identify potential postpartum hemorrhage, especially with oxytocin administration.

C. Although urinary output is important to monitor for bladder distension, it does not take precedence over bleeding assessment.

D. Fundal height assessment is necessary to ensure the uterus is contracting effectively, but again, it is secondary to monitoring for bleeding.

A. Assess a client who has hypomania for exhaustion B. Accompany a client who has depression to occupational therapy C. Check the position of a client in soft wrist restraints D. Sit with a client who has alcohol use disorder and whose last drink was five days ago E. Set limits with a client who has mania

Correct Answer is D

Explanation

Assessing a client requires clinical judgment and should not be delegated to an AP.

B. Accompanying a client to occupational therapy is a task that can be safely assigned to an AP as it does not require clinical judgment.

C. Checking the position of a client in soft wrist restraints is a routine task that can be assigned to an AP as long as the AP has been trained in restraint protocols.

D. Sitting with a client who has alcohol use disorder (5 days after their last drink) is a task that an AP can perform, especially if the client does not require close monitoring for medical complications such as delirium tremens.

E. Setting limits with a client requires therapeutic communication skills and clinical judgment, so this should not be delegated to an AP.

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A community health nurse is reviewing the medical records of four newly diagnosed clients. The nurse should identify which of the following clients as having a nationally notifiable infectious condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is in the fourth stage of labor and is receiving oxytocin via continuous IV infusion. Which of the following assessments is the nurse's priority?

Correct Answer is B

Explanation

A nurse is planning to assign care activities to the assistive personnel (AP) on her team. Which of the following activities can the nurse assign to the AP? (Select all that apply.)

Correct Answer is D

Explanation

A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the client's medical record?

A nurse is caring for an older adult client who is experiencing chronic anorexia and is receiving enteral tube feedings. Which of the following laboratory values indicates the client needs additional nutrients added to the feeding?

A nurse is providing teaching to a school-age child who has asthma about using an albuterol metered-dose inhaler. Which of the following instructions should the nurse include?

A nurse is caring for a school-age child who is taking valproic acid. The nurse should expect the provider to order which of the following diagnostic tests?

.A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for a high-frequency chest compression vest in response to which of the following parent statements?

A nurse receives a request from a client to review the information in his medical record. Which of the following responses should the nurse give?

A nurse in an acute mental health facility is planning care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the client's plan of care?

A nurse is caring for a client who had a vaginal delivery 2 hours ago. Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)