Exhibits

What should the nurse include in post discharge care education? Select all that apply.

Give only clear liquids for several days

Avoid any kind of bath or shower

Monitor for fever

Keep a pressure dressing on the site for one week

The child may take ibuprofen for pain

Alert the physician if the site bleeds or swells.

Answer and Explanation

Correct Answer : C,E,F

A. Typically, there is no need to restrict a child to clear liquids for several days post-cardiac catheterization unless specified by the physician.
B. Bathing should be avoided if the catheterization was done through the groin, but showers are usually permitted after 24 hours, provided the water does not directly hit the incision site.
C. Monitoring for fever is important as it can be a sign of infection.
D. A pressure dressing is usually kept on the site for the first few hours post-procedure, not for an entire week.
E. Ibuprofen can be given for pain, but it's important to follow the physician's advice regarding dosage and frequency.
F. It is crucial to alert the physician if the site bleeds or swells as this could indicate a complication from the procedure.

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Correct Answer is D

Explanation

A. Assisting the client to recall everyone possibly exposed since the onset of symptoms is important for contact tracing but is not the most immediate action to take.
B. Teaching the client to wear a mask, hand wash, and social distance to prevent spreading the virus is important for infection control but does not address the immediate need to prevent
potential transmission to others in the clinic setting.
C. Placing the nasal swab specimen for COVID-19 directly into a biohazard bag is appropriate for specimen handling but does not address the need for immediate infection control measures for the client and others in the clinic setting.
D. Moving the client to a private room, keeping the door closed, and initiating droplet precautions is the most important action to take to prevent potential transmission of COVID-19 to others in the clinic setting, given the client's symptoms and recent travel history.

A. Match ID bands of all infants and mothers on the unit. B. Determine if the newborn is in the nursery. C. Ask the mother if any visitors were expected to arrive. D. Activate the lockdown procedure.

Correct Answer is D

Explanation

A. Matching ID bands of all infants and mothers on the unit is an important step in ensuring infant safety and preventing mix-ups. However, this action does not address the immediate need to secure the facility and prevent the potential abduction of the newborn.

B. Determining if the newborn is in the nursery is important, but it is not the first priority. The nurse must act immediately to secure the unit and prevent the possibility of the infant being removed from the hospital.

C. Asking the mother if any visitors were expected may provide helpful information, but it is not the first action. The priority is to ensure the safety of all infants and prevent unauthorized exits from the facility.

D. Activating the lockdown procedure is the first and most critical action. This ensures that all exits are secured, preventing the potential abductor from leaving the facility. Once the lockdown is in place, the nurse can proceed with further actions to locate the infant and investigate the situation.

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Exhibits What should the nurse include in post discharge care education? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID-19. Which action is most important for the nurse to take?

Correct Answer is D

Explanation

A new mother on the postpartum unit runs out of the room screaming that her newborn infant's crib is empty and the baby is missing. Which action should the nurse take first?

Correct Answer is D

Explanation

The nurse is caring for a client with a binge eating disorder. Which goal should the nurse first establish with the client?

The nurse places an opioid patch on the chest of a client with intractable pain who also has obstructive sleep apnea (OSA). Which intervention is most important for the nurse to implement before leaving the client?

Exhibits The nurse reviews the post catheterization orders. Which two orders would the nurse question?

The nurse notes that a client is receiving a heparin infusion labeled, Heparin Sodium 25,000 Units in 5% Dextrose Injection, 500 mL at a rate of 50 mL/hour. What dose of heparin is the client receiving per hour? (Enter the numerical value only.)

A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

A parent asked the nurse how to care for their 4-year-old child after receiving the Haemophilus influenzae type b (Hib) conjugate vaccine. Which instruction should the nurse provide?

An older adult client is admitted for repair of a broken hip. To reduce the risk for infection in the postoperative period, what nursing care intervention(s) should the nurse include in the client's plan of care? Select all that apply.

A client is being discharged home after being treated for heart failure (HF. Which instruction should the nurse include in this client's discharge teaching plan?

Exhibits

What should the nurse include in post discharge care education? Select all that apply.