The nurse is caring for a client who was admitted two days ago and diagnosed with influenza and acute otitis media.

Admitting diagnosis

Influenza

Acute otitis media

Complete the sentence by using the list of options

is the most effective action the nurse can teach to prevent the spread of infection.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B"}

Hand hygiene is universally recognized as one of the most effective measures to prevent the transmission of infections, including respiratory illnesses like influenza and secondary infections such as acute otitis media. Proper handwashing significantly reduces the risk of spreading pathogens.

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Correct Answer is A

Explanation

A. According to the recommended dosage range of 20 to 25 mg/kg/day for a toddler weighing 20 kg, the daily dosage should be between 400 mg (20 kg x 20 mg) and 500 mg (20 kg x 25 mg). Therefore, the prescribed dosage of 300 mg/day is below the recommended range.

B. The nurse determines the prescription is above the recommended dosage range. This is incorrect because the prescribed dosage is actually below the recommended range.

C. The nurse contacts the pharmacist to adjust the prescribed dosage. This would be an appropriate action since the prescribed dosage does not meet the recommended range, and collaboration with the pharmacist could ensure the correct dosage is administered.

D. The nurse administers the prescribed dosage. This would not be appropriate without first addressing the discrepancy between the prescribed dosage and the recommended range.

A. Dorsal surface of the hand. B. Fingertips and palmer surface of the fingers. C. Palmer surface of the fingers. D. Finger pads.

Correct Answer is D

Explanation

A. The dorsal surface of the hand is used for assessing temperature, not palpation.

B. The fingertips and palmar surface are used for deep palpation, not light palpation.

C. The palmar surface of the fingers can be used, but the finger pads provide more sensitivity for light palpation, especially when assessing the abdomen.

D. Finger pads are the best part of the hand for light palpation as they allow the nurse to assess tenderness and abdominal consistency accurately.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which action by the nurse is appropriate?

Correct Answer is A

Explanation

The nurse is caring for a client who is admitted to the medical-surgical unit for gastrointestinal disorders. While conducting a focused assessment, the nurse prepares to lightly palpate the client's abdomen. Which part of the hand should the nurse use?

Correct Answer is D

Explanation

A nurse has been assigned four patients of which one of the patients is completely immobile. Which complication should the nurse expect as a result of immobility? (Select all that apply.)

During a physical examination of a client's breast, which finding would the nurse recognize as a possible indication of a malignant tumor?

A nurse should ask the client to assume which position to begin the examination of the breast?

You are examining a client with respiratory distress. Which physical assessment would best determine if the client has acute hypoxemia?

The nurse is preparing to physically exam a client. What action by the nurse is most to take prior to beginning the client examination?

The nurse is admitting a client to the urgent care center. When taking a health history of an older adult client, the nurse would inquire about a history of which eye conditions. Select the four options that apply.

The nurse is admitting a client to the medical-surgical unit and notes the skin breakdown shown in the diagram. How should the nurse document the finding?