The nurse is continuing to care for the child.

Exhibits

After reviewing the discharge instructions with the family, which of the following statements by a parent indicate an understanding of the teaching. For each statement by the parent, click to specify if the statement reflects an. understanding or indicates a need for reinforcement of the discharge teaching.

"We should prop the casted arm on pillows for the next 24 hours.".

"We should expect the swelling and tingling to worsen before it gets better.".

"We need to be very careful about how we handle the cast for the first 2 days while it dries.".

"It is important that our child avoids placing anything inside the cast.".

"We should notify the provider if the cast becomes loose over time.".

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"B"}}

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Correct Answer is D

Explanation

A. Instruct the client's loved ones that the client should not have fresh flowers in their room. B. Wear a surgical mask when within 0.9 m (3 feet) of the client. C. Place the client in a room with negative-airflow pressure. D. Instruct the client that visitors will not be allowed while they are in isolation.

Correct Answer is B

Explanation

The correct answer is choice B: Wear a surgical mask when within 0.9 m (3 feet) of the client.

Choice A rationale:

Fresh flowers are generally discouraged in hospital settings for clients with compromised immune systems due to the risk of infection from soil or water, which can harbor harmful microorganisms. However, this is not specifically related to rubella, which is an airborne virus.

Choice B rationale:

Rubella is transmitted through airborne droplets when an infected person coughs or sneezes. Wearing a surgical mask when close to the client can help prevent the spread of the virus. This is especially important to protect individuals who are pregnant or may become pregnant, as rubella can cause serious birth defects.

Choice C rationale:

Negative-airflow pressure rooms are used for clients with airborne infections, such as tuberculosis. While rubella is also airborne, the current guidelines do not require a negative pressure room for its management.

Choice D rationale:

While limiting visitors can help control the spread of infection, it is not the primary action to take for a client with rubella. The focus should be on preventing the spread through droplet transmission, which is addressed by wearing a mask and practicing good hand hygiene.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a neurological examination on a client as part of a complete physical assessment.The nurse should identify that cranial nerve XI is intact when the client performs which of the following actions?

Correct Answer is D

Explanation

A nurse is admitting a client who has rubella. Which of the following actions should the nurse plan to take?

Correct Answer is B

Explanation

A nurse is caring for a client who is in active labor and notes the FHR baseline has been 100/min for the past 15 min. The nurse should identify which of the following conditions as a possible cause of fetal bradycardia?

A nurse is reinforcing teaching about advance directives with a client who has end-stage heart failure. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is preparing a client to undergo a cardiac catheterization. Which of the following tasks should the nurse perform prior to the procedure?

A nurse is caring for a client who has an abdominal surgical incision and notes an evisceration. Which of the following actions should the nurse take?

A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin.Which of the following findings should the nurse identify as an indication that the medication is effective?

A nurse is preparing to administer nasogastric tube feedings to a 2-month-old infant. Which of the following actions should the nurse plan to take?

A nurse is caring for a client who has severe hypertension and is to receive nitroprusside via continuous IV infusion. Which of the following actions should the nurse plan to take?

A charge nurse on a medical-surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge?