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 A

Explanation

A. Exacerbations of multiple sclerosis (MS) are often triggered by stress, infection, fatigue, or extreme temperatures. Asking about emotional and physical stress is the most appropriate way to explore a likely cause for the relapse.
B. The influenza vaccine does not cause MS exacerbations and is generally recommended to help prevent infections, which can actually trigger relapses.
C. Grapefruit juice can interact with some medications, but it is not associated with MS exacerbations.
D. Travel history may be important for infectious disease screening but is not directly related to MS relapse triggers.

A. Anticipatory B. Situational C. Coping D. Hope

Correct Answer is A

Explanation

A. Anticipatory grieving occurs when family members begin to experience grief before the actual loss, often in response to a terminal illness.
B. Situational refers to a sudden, unexpected loss or crisis, not the expected progression of a chronic illness.
C. Coping describes strategies used to deal with stress but is not a type of grief.
D. Hope is a positive outlook that may exist alongside grief but is not a form of grieving.

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Heart Rate	105 beats/minute.
Blood Pressure	130/85 mmHg
Pain	6 on a 0-10 scale
Temperature	101.3 F (38.5 C)
White Blood Cell (WBC)	12,000 mm3 (Ref: 4,000-10,000 mm3)
Platelet Count	150,000 mcl (Ret: 150,000-400,000 mcl)

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 admitting a client with an exacerbation of multiple sclerosis. The client states, "I have been in remission for years and cannot imagine what might have caused this." Which question would be the best one to ask in trying to determine the cause of the relapse?

Correct Answer is A

Explanation

The nurse is caring for a client who has end-stage renal disease. The client's child is present and tells the nurse about fears that the disease will soon progress to death. What type of grieving does the nurse identify in the client's child's response?

Correct Answer is A

Explanation

The nurse is caring for a client who is ready to be discharged home after a cataract extraction with intraocular lens implant. The nurse is reviewing signs and symptoms that need to be reported to the ophthalmologist immediately. Which symptom is the priority for the nurse to teach the client?

The nurse is receiving morning report on several clients with diseases causing inflammation. What client is the priority for the nurse to assess first?

The nurse is caring for a client with dehydration with vital signs as follows: blood pressure 96/72, heart rate 106, respiration rate of 18 breaths/minute, and temperature of 101F. After receiving intravenous fluids, which assessment finding is the best way to determine improvement in fluid status?

The nurse is caring for a client who had a left total hip replacement three days ago. The client suddenly has severe left hip pain and the nurse notes a shortening of the left lower extremity. What complication does the nurse suspect?

The nurse is caring for a client who has just returned to the post-surgical unit following cholecystectomy for gallbladder disease. What assessment finding should the nurse immediately report to the health care provider?

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?