Four clients with infections arrive at the emergency department with some existing infection, however, only one private room is available. Which of the following clients is the most appropriate to assign to the private room?

A client with diarrhea after taking antibiotics for 10 days for a UTI

A client with abdominal pain and a temperature of 102.4°F (39.1°C)

A client with a productive cough that is blood tinged

A client with a wound infection and draining pus-like drainage

Answer and Explanation

The Correct Answer is C

A reason:

A client with diarrhea after taking antibiotics for 10 days for a UTI is not the most appropriate to assign to a private room. While this client may have an infection, diarrhea alone does not typically warrant isolation over other more contagious conditions.

B reason:

A client with abdominal pain and a fever may have an infection, but without more specific symptoms indicating a highly contagious disease, this client does not necessarily require a private room over others with more concerning symptoms.

C reason:

A client with a productive cough that is blood tinged is the most appropriate to assign to the private room. This client could have a highly contagious respiratory infection such as tuberculosis, which requires isolation to prevent the spread of infection to others in the hospital.

D reason:

A client with a wound infection and draining pus-like drainage needs careful management to prevent cross-contamination, but respiratory infections typically take precedence for private rooms due to their high contagion potential.

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Correct Answer is B

Explanation

A reason:

Placing the wheelchair at a 90-degree angle to the bed is not the most effective position for transfer. A 45-degree angle is typically recommended to facilitate a smoother and safer transfer.

B reason:

Locking the wheels of the bed and the wheelchair is correct. This prevents any movement of the bed or wheelchair during the transfer, ensuring the safety of both the client and the nurse.

C reason:

Elevating the bed to a position of comfort for the nurse may be necessary, but the priority is to ensure the bed height is appropriate for a safe transfer, not just for the nurse's comfort.

D reason:

Acquiring the help of several people to lift the client is not always necessary. Using proper transfer techniques, equipment, and positioning can enable a single nurse to safely transfer a client, depending on the client's mobility and weight.

A. Apply a heat lamp twice a day. B. Massage reddened areas with dressing changes. C. Reposition the client at least every 2 hr. D. Clean the wound with hydrogen peroxide solution.

Correct Answer is C

Explanation

A reason:

Applying a heat lamp twice a day is incorrect. Heat lamps can increase the risk of burns and do not have a proven benefit in the treatment of pressure ulcers.

B reason:

Massaging reddened areas is incorrect. Massaging areas of redness can cause further tissue damage, especially in areas that are already compromised.

C reason:

Repositioning the client at least every 2 hours is correct. This helps to relieve pressure on the ulcer and promote circulation, which are crucial for the healing process.

D reason:

Cleaning the wound with hydrogen peroxide solution is incorrect. Hydrogen peroxide can damage healthy tissue and delay wound healing. Saline or other appropriate wound cleansers should be used instead.

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Four clients with infections arrive at the emergency department with some existing infection, however, only one private room is available. Which of the following clients is the most appropriate to assign to the private room?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with transferring a client from the bed to a wheelchair. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is developing a plan of care for a client who has a stage 3 pressure ulcer. Which of the following interventions should the nurse include in the plan?

Correct Answer is C

Explanation

A nurse is assisting an older adult client who sometimes loses her balance while walking. Which of the following devices should the nurse use when helping the client ambulate?

A nurse is providing home safety information for an older adult client who uses a cane. Which of the following statements should the nurse include in the teaching?

A nurse is teaching a client about crutch walking using the three-point gait. Which of the following statements by the nurse should be included in the teaching?

A nurse is caring for a client who sustained blood loss. Which of the following is a manifestation of hypovolemia?

A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?

A nurse is caring for a client who has hypernatremia and requires IV fluid therapy due to his NPO status. Which of the following solutions should the nurse prepare to infuse for this client?

A nurse is caring for a client who has a rectal temperature of 35°C (95°F). Which of the following actions should the nurse take?

A nurse is providing teaching to a group of assistive personnel (AP) about hand hygiene. Which of the following statements by one of the APs indicates a need for further teaching?