A nurse educator is teaching a group of recent nursing graduates about their occupational risks for contracting hepatitis B. What preventative measures should the educator promote? Select all that apply.

Annual vitamin K injections

Use of standard precautions

Consumption of a vitamin-rich diet

Annual vitamin B12 injections

Immunization

Answer and Explanation

Correct Answer : B,E

A. Annual vitamin K injections: Vitamin K injections do not prevent Hepatitis B.

B. Use of standard precautions: Standard precautions reduce the risk of exposure to bloodborne pathogens, including Hepatitis B.

C. Consumption of a vitamin-rich diet: While a healthy diet is important, it does not specifically prevent Hepatitis B.

D. Annual vitamin B12 injections: Vitamin B12 injections are unrelated to Hepatitis B prevention.

E. Immunization: Vaccination is a key preventive measure against Hepatitis B.

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Correct Answer is D

Explanation

A. "Your liver cannot manufacture bile": The liver can still manufacture bile, but the problem lies in bile flow, not production.

B. "Your pancreas is no longer able to manufacture insulin": This statement refers to diabetes, not cholelithiasis.

C. "Your gall bladder is not contracting properly": While gallbladder dysfunction can cause pain, jaundice specifically occurs due to bile flow obstruction, not just poor contraction.

D. "A gallstone can prevent bile from flowing into the intestines": Gallstones can obstruct the bile ducts, leading to a buildup of bilirubin in the blood, which manifests as jaundice.

A. Ask a family member to interpret what the client is trying to communicate. B. Ask the physician to wean the client off the mechanical ventilator to allow the client to talk. C. Ask the client to write, use a picture board, or spell words with an alphabet board. D. Assure the client that everything will be all right and that he shouldn't become upset.

Correct Answer is C

Explanation

A. Ask a family member to interpret what the client is trying to communicate: While family members can sometimes help, the nurse should directly facilitate communication with the client using appropriate tools.

B. Ask the physician to wean the client off the mechanical ventilator to allow the client to talk: Weaning off a ventilator should only be done based on medical stability, not solely for communication purposes.

C. Ask the client to write, use a picture board, or spell words with an alphabet board: These tools can help non-verbal clients on mechanical ventilation express themselves and reduce frustration.

D. Assure the client that everything will be all right and that he shouldn't become upset: This response is dismissive and does not address the client's need to communicate.

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A nurse educator is teaching a group of recent nursing graduates about their occupational risks for contracting hepatitis B. What preventative measures should the educator promote? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with cholelithiasis asks the nurse why he/she is jaundiced. What is the nurse's best answer?

Correct Answer is D

Explanation

A client on long-term mechanical ventilation becomes very frustrated when he tries to communicate. Which intervention should the nurse perform to assist the client?

Correct Answer is C

Explanation

The nurse is assessing a patient for heart failure (HF). Which early findings would indicate decreased cardiac output and a potential for fluid overload from heart failure?

A patient is brought to the ED after being struck by a baseball to the chest. The physician suspects a cardiac tamponade based on hypotension muffled heart sounds, and distended jugular veins. What is the primary intervention for this patient?

Which of the following describes why an ACE inhibitor is prescribed to a patient with Heart Failure?

. A nurse is discussing management of hypertension with a patient. Which patient statement indicates that additional teaching about the relationship between hypertension and acute coronary syndrome (ACS) is needed?

Which of the following is not a cause of high-output heart failure?

The nurse is reviewing a newly admitted client's electronic health record, which notes a history of orthopnea. What nursing action is most clearly indicated?

Which of the following is an indication of Left sided heart failure?

A nurse is caring for a client on mechanical ventilation and finds the client agitated and thrashing about. What action by the nurse is most appropriate?