A nurse is teaching a newly licensed nurse about wearing medical masks. Which of the following statements should the nurse include?

"Position the mask on your face with the flexible metal piece at the bottom."

"Touch the front of your mask while wearing it."

"Discard your mask after each use."

"Remove your mask prior to removing your gloves."

Answer and Explanation

The Correct Answer is C

A.   The flexible metal piece in the medical mask is designed to be shaped around the nose to provide a better fit and seal. Placing it at the bottom is not appropriate.
B.   It is important not to touch the front of the mask while wearing it, especially with potentially contaminated gloves or hands. Touching the front of the mask can transfer pathogens from the mask to the hands or vice versa, compromising infection control measures.
C.   Medical masks are designed for single use and should be discarded after each use to prevent contamination and ensure effectiveness.
D.   You should remove your gloves first before removing your mask to avoid contaminating your face with any pathogens that might be on the gloves.

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Correct Answer is ["A","B","C","D"]

Explanation

Blood pressure 86/46 mm Hg

A blood pressure of 86/46 mm Hg indicates hypotension. Hypotension can be a sign of inadequate perfusion and may lead to organ dysfunction if not promptly addressed. Immediate action may include reassessment of the client's hemodynamic status, fluid resuscitation if indicated, and consideration of vasopressor medications under provider orders.

Oxygen saturation 94% on 2 L via nasal cannula

Although the oxygen saturation of 94% is within the acceptable range (typically ≥ 92% for most clients),

it should be monitored closely as per the prescribed titration to maintain ≥ 92%. If the oxygen saturation drops below the target range, the nurse may need to adjust the oxygen flow rate or consider alternative oxygen delivery methods to ensure adequate oxygenation.

Prescription for the transfusion of 2 units of packed RBCs

Transfusion of packed red blood cells (RBCs) is indicated, suggesting the client may have significant anemia or ongoing bleeding requiring correction of hemoglobin levels. Immediate action involves verifying the blood product compatibility, initiating transfusion per protocol (including pre-transfusion assessments), and monitoring the client closely for any signs of transfusion reaction or complications during the transfusion.

Pulse rate 100/min, respiratory rate 28/min

Elevated pulse rate (tachycardia) and respiratory rate (tachypnea) can indicate physiological stress, inadequate oxygenation, or compensation for decreased cardiac output due to hypotension. These vital signs should be closely monitored for any worsening trends or signs of instability that may require immediate intervention, such as further assessment for hypovolemia or respiratory distress.

A. Oral hypoglycemic medications B. Insulin injections daily C. Peritoneal dialysis therapy D. Fluid restrictions

Correct Answer is A

Explanation

A. Oral hypoglycemic medications are often prescribed to lower blood glucose levels in individuals with type 2 diabetes mellitus. They work by either increasing insulin production, improving insulin sensitivity, or reducing glucose production by the liver. These medications are typically considered when lifestyle modifications alone are insufficient to achieve target blood glucose levels.
B. Insulin therapy is considered in type 2 diabetes who cannot achieve adequate glucose control with oral medications alone.
C. Peritoneal dialysis is not typically indicated as a secondary prevention measure for diabetes mellitus. Peritoneal dialysis is a treatment for end-stage renal disease (ESRD) when the kidneys can no longer function effectively.
D. Fluid restrictions may be necessary in clients with advanced kidney disease (nephropathy) resulting from diabetes. However, fluid restrictions alone do not constitute a secondary prevention action for diabetes mellitus itself.

View Question and Answer

A nurse is caring for a 20-year-old client who has a fever and reports severe headache.

Exhibits

A nurse is preparing the client for a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.

View Question and Answer

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A nurse is teaching a newly licensed nurse about wearing medical masks. Which of the following statements should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is caring for a client who has a new onset of diabetes mellitus and is experiencing uncontrolled blood glucose levels. The client informs the nurse about their strict dietary compliance. Which secondary prevention actions should the nurse anticipate the provider prescribing?

Correct Answer is A

Explanation

A charge nurse is providing an in-service to a group of staff nurses about unexpected events. Which of the following should the nurse include in the teaching as an example of a sentinel event?

A nurse is implementing the ventilator care bundle for a client who is receiving mechanical ventilation. Which of the following should the nurse expect to find in the bundle?

A school nurse receives a telephone call from a parent who suspects their school-age child may have coronavirus-2 (SARS-COV-2). Which of the following instructions should the nurse give as secondary prevention?

A nurse is providing discharge instructions to a client who has asthma and is about to start taking theophylline (Theo-24). The nurse should tell the client that this medication might cause which of the following adverse effects?

A nurse is teaching a newly licensed nurse about reducing the risk of needlestick injuries. Which of the following instructions should the nurse include?

A nurse reports an incident of suspected child abuse. One of the parents of the child becomes upset and demands to know the reason for the nurse's action. Which of the following responses by the nurse is appropriate?

A nurse is caring for a 20-year-old client who has a fever and reports severe headache. Exhibits A nurse is preparing the client for a lumbar puncture. Which of the following actions should the nurse take? Select all that apply.