The nurse is assigning rooms for four clients, each newly diagnosed, and being admitted to the acute neuro unit for treatment. The client with which condition should be assigned the only private room available?

Bacterial meningitis.

Septic shock.

Brain abscess.

Viral encephalitis.

Answer and Explanation

The Correct Answer is A

Rationale:

A. Bacterial meningitis: This condition is highly contagious and transmitted via respiratory droplets. A private room with droplet precautions is required to prevent the spread of infection to others.

B. Septic shock: Although serious, it is not typically contagious. The client needs intensive monitoring, but isolation is not necessary unless another transmissible condition is present.

C. Brain abscess: A brain abscess is not communicable and does not require isolation. It results from localized infection and can be managed safely in a shared room with appropriate care.

D. Viral encephalitis: Viral encephalitis is usually not spread person to person in a hospital setting. Standard precautions are generally sufficient unless another communicable disease is involved.

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Correct Answer is C

Explanation

Rationale:

A. Go to the emergency department and complete assigned tasks: UAPs should remain on their assigned units unless directed otherwise by leadership. Relocating without orders could compromise continuity and safety in their current area.

B. Shut all doors to client rooms on the unit in case a fire erupts: There is no immediate threat of fire. This may increase client anxiety or hinder necessary observation in a power outage. Fire protocols are separate from internal disaster procedures unless a fire is confirmed.

C. Tell all their assigned clients to stay in their rooms: This maintains order and safety during a chaotic event. It prevents unnecessary movement in darkened or unfamiliar areas and reduces the risk of injury in the absence of full power.

D. Offer to assist in the intensive care unit with clients ventilator-dependent: UAPs are not qualified to assist with critical care clients, especially ventilator-dependent ones. They should remain within their competency and scope of practice.

A. An upset stomach may occur as a side effect of this medication. B. A change in urine color to dark red often occurs while taking this drug. C. The medication should only be taken during a meal. D. Avoid sunlight and wear sunglasses while outdoors. E. Parkinson symptoms should diminish within one week.

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

Explanation

Rationale:

A. An upset stomach may occur as a side effect of this medication: Levodopa commonly causes gastrointestinal upset, especially when first starting treatment. Taking it with a small snack (not high-protein) may reduce nausea, though the CR formulation tends to be gentler on the stomach.

B. A change in urine color to dark red often occurs while taking this drug: Carbidopa-levodopa can cause harmless discoloration of urine, sweat, or saliva to a red, brown, or black color. Clients should be reassured that this is expected and not harmful.

C. The medication should only be taken during a meal: Carbidopa-levodopa is best absorbed on an empty stomach. Taking it with food may help with nausea, but high-protein meals interfere with absorption and should be avoided around dosing.

D. Avoid sunlight and wear sunglasses while outdoors: This is not a common or significant teaching point specifically for carbidopa-levodopa. While some medications can cause photosensitivity, carbidopa-levodopa is not prominently known for this side effect.

E. Parkinson symptoms should diminish within one week: The therapeutic effect of carbidopa-levodopa, especially in CR form, often takes several weeks to reach optimal levels. Symptom improvement within one week is unlikely.

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The nurse is assigning rooms for four clients, each newly diagnosed, and being admitted to the acute neuro unit for treatment. The client with which condition should be assigned the only private room available?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A client diagnosed with Parkinson's disease receives a prescription for carbidopa-levodopa, controlled release (CR) 25/100 mg PO daily each morning. Which information should the nurse include in the client's teaching plan? Select all that apply.

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

Explanation

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