The nurse is preparing to educate a client with Influenza A about the necessary safety measures to prevent the spread of infection. What action is most appropriate to include when developing the teaching plan?

All visitors will need to wear gloves if they are touching you.

Visitors can only stay in your room for 10 minutes at a time,

Only your family may come to visit you while you are here.

Visitors will need to wear a mask when they are in your room.

Answer and Explanation

The Correct Answer is D

A. Gloves are required only when direct contact with body fluids is anticipated; they are not necessary for every visitor.
B. Limiting visits to 10 minutes is not an evidence-based requirement; the focus should be on proper precautions, not strict time limits.
C. Restricting visits to family only is not required; anyone may visit as long as they follow infection control precautions.
D. Influenza A is transmitted via respiratory droplets. Visitors and healthcare staff should wear masks when entering the client’s room to reduce the risk of transmission.

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Correct Answer is D

Explanation

A. Zinc ointment is appropriate to protect skin from breakdown due to diarrhea, but it does not address the client’s most urgent physiologic need.
B. Probiotics may support gut health, but oral administration is not appropriate when the client cannot hold down fluids and is at risk for dehydration.
C. Obtaining a stool specimen is important for identifying the infectious cause, but it is not the immediate priority.
D. The client has had several days of diarrhea and is unable to tolerate oral fluids, placing them at high risk for severe dehydration and electrolyte imbalance. Administering IV fluids at 125 mL/hr is the priority intervention to restore fluid balance and prevent hypovolemic shock.

A. Promote the client's hope for recovery. B. Encourage the client to focus on use of other senses. C. Assess and promote the client's coping skills. D. Emphasize that lifestyle will be unchanged.

Correct Answer is C

Explanation

A. Macular degeneration is progressive and irreversible, so promoting hope for recovery may be unrealistic and could lead to frustration or false expectations.

B. While encouraging the use of other senses may help with adaptation, this does not directly address the client’s psychosocial needs.

C. Assessing and supporting the client’s coping skills is essential in helping them adjust to permanent vision loss, maintain independence, and prevent depression or anxiety. Psychosocial interventions are critical in chronic, irreversible conditions.

D. Blindness will change the client’s lifestyle, so emphasizing that nothing will change is misleading and could hinder realistic adjustment.

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Creatinine 1.8 mg/dL	Ref: 0.6-1.3 mg/dL
White blood cell (WBC) 16,000 mm3	Ref: 5,000-10,000 mm3
Platelet count 120,000	Ref: 140,000-400,000
C-Reactive Protein 5 mg/dL	Ref: <1 mg/dL

Heart Rate	115 beats per minute
Blood pressure	100/70 mmHg
Temperature	98.7 F (37.0 C)
Oxygen saturation	90% on room air

The nurse is preparing to educate a client with Influenza A about the necessary safety measures to prevent the spread of infection. What action is most appropriate to include when developing the teaching plan?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a newly admitted client suspected of having bacterial gastroenteritis with frequent watery diarrhea for several days and has been unable to hold down fluids. All of the following are ordered for the client. What is the priority intervention?

Correct Answer is D

Explanation

The nurse is caring for a client who is legally blind as a result of macular degeneration. When attempting to meet this client's psychosocial needs, what nursing action is most appropriate?

Correct Answer is C

Explanation

The nurse is caring for a pregnant client who has just been diagnosed with cholecystitis. When considering anticipatory guidance, what should the nurse include in education regarding nutrition?

The nurse is educating a group of older adults at a community meeting regarding the risk factors for osteoporosis. Which risk factors should the nurse include in the presentation?

The nurse is educating staff on factors that affect grief. Which type of influence is most likely to impact a person's expression of grief?

The nurse is caring for a child with chronic otitis media infections. Which prescription by the health care provider will the nurse anticipate?

The home health nurse is caring for a client who was recently diagnosed with advanced pancreatic cancer. Which statement best indicates that the client is experiencing the anger phase of grief?

The nurse is caring for a client with diverticulitis. Vitals are as follows. What laboratory value is the priority to report to the healthcare provider? Heart Rate 115 beats per minute Blood pressure 100/70 mmHg Temperature 98.7 F (37.0 C) Oxygen saturation 90% on room air