1. Which of the following information about a client who has meningococcal meningitis has the best indicator that you can discontinue droplet precautions? *1 pointA. Pupils are equal and reactive to lightB. Temperature is lower than 100°F (37.8°C)C. Appropriate antibiotics have been given for 24 hoursD. Cough is productive of clear, non-purulent mucus2. You are preparing to care for a 6-year-old who has just undergone allogeneic stem cell transplantation and will need protective environment isolation. Which nursing tasks will you delegate to a nursing assistant? Select all that apply. A. Teaching the client to perform thorough hand washing after using the bathroom. B. Talking to the family members about the reasons for the isolation. C. Stocking the client’s room with the needed PPE items.D. Reminding visitors to wear a respirator mask, gloves, and gown. E. Posting the precautions for protective isolation on the door of the client’s room. *1 pointA. C, D, EB. A, C, DC. C, D, AD. All of the above3. You are preparing to insert a PICC line in a client's left forearm. Which solution will be best for cleaning the skin prior to the PICC insertion? *1 pointA. 70% isopropyl alcoholB. Povidone-iodine (Betadine)C. 0.5% chlorhexidine in alcoholD. Betadine followed by 70% isopropyl alcohol4. While working in a pediatric clinic, you receive a telephone call from the parent of a 10-year-old who is receiving chemotherapy for leukemia. The client’s sibling has chickenpox. Which of these actions will you anticipate taking next? *1 pointA. Administer varicella-zoster immune globulin to the clientB. Educate the parent about the correct use of acyclovir (Zovirax)C. Prepare the client for admission to a private room in the hospitalD. Teach the parents regarding contact and airborne precaution5. Which action will you take to most effectively reduce the incidence of hospital-associated urinary tract infections? *1 pointA. Ensure that clients have enough adequate fluid intakeB. Teach assistive personnel how to provide good perineal hygieneC. Perform dipstick urinalysis for clients with risk factors for UTID. Limit the use of indwelling foley catheter (IFC)6. The drug of choice in filariasis is *1 pointA. PraziquantelB. ZoviraxC. HetrazanD. Penicillin7. A client comes to the center consultation with the following complaints: itchiness and eruptive lesions of legs and arms especially body folds like breast groin. History reveals that she is living on a tenement. The nurse will suspect *1 pointA. AnthraxB. ScabiesC. PsoriasisD. Chickenpox8. Category II treatment regimen is directed towards client with the following condition except *1 pointA. Extrapulmonary TBB. Previously treated patient with relapsesC. Previously treated patients with failuresD. None of the above9. Which of the following is considered chronic signs and symptoms of filariasis *1 pointA. SplenomegalyB. Chills and feverC. ElephantiasisD. Lymphadenitis10. Category I treatment regimen is for patients who are considered *1 pointA. Relapsed casesB. New pulmonary TB sputum positiveC. Newly diagnosed by smear negative for 3xD. Not serious extra pulmonary cases
Question
- Which of the following information about a client who has meningococcal meningitis has the best indicator that you can discontinue droplet precautions? *1 pointA. Pupils are equal and reactive to lightB. Temperature is lower than 100°F (37.8°C)C. Appropriate antibiotics have been given for 24 hoursD. Cough is productive of clear, non-purulent mucus2. You are preparing to care for a 6-year-old who has just undergone allogeneic stem cell transplantation and will need protective environment isolation. Which nursing tasks will you delegate to a nursing assistant? Select all that apply. A. Teaching the client to perform thorough hand washing after using the bathroom. B. Talking to the family members about the reasons for the isolation. C. Stocking the client’s room with the needed PPE items.D. Reminding visitors to wear a respirator mask, gloves, and gown. E. Posting the precautions for protective isolation on the door of the client’s room. *1 pointA. C, D, EB. A, C, DC. C, D, AD. All of the above3. You are preparing to insert a PICC line in a client's left forearm. Which solution will be best for cleaning the skin prior to the PICC insertion? *1 pointA. 70% isopropyl alcoholB. Povidone-iodine (Betadine)C. 0.5% chlorhexidine in alcoholD. Betadine followed by 70% isopropyl alcohol4. While working in a pediatric clinic, you receive a telephone call from the parent of a 10-year-old who is receiving chemotherapy for leukemia. The client’s sibling has chickenpox. Which of these actions will you anticipate taking next? *1 pointA. Administer varicella-zoster immune globulin to the clientB. Educate the parent about the correct use of acyclovir (Zovirax)C. Prepare the client for admission to a private room in the hospitalD. Teach the parents regarding contact and airborne precaution5. Which action will you take to most effectively reduce the incidence of hospital-associated urinary tract infections? *1 pointA. Ensure that clients have enough adequate fluid intakeB. Teach assistive personnel how to provide good perineal hygieneC. Perform dipstick urinalysis for clients with risk factors for UTID. Limit the use of indwelling foley catheter (IFC)6. The drug of choice in filariasis is *1 pointA. PraziquantelB. ZoviraxC. HetrazanD. Penicillin7. A client comes to the center consultation with the following complaints: itchiness and eruptive lesions of legs and arms especially body folds like breast groin. History reveals that she is living on a tenement. The nurse will suspect *1 pointA. AnthraxB. ScabiesC. PsoriasisD. Chickenpox8. Category II treatment regimen is directed towards client with the following condition except *1 pointA. Extrapulmonary TBB. Previously treated patient with relapsesC. Previously treated patients with failuresD. None of the above9. Which of the following is considered chronic signs and symptoms of filariasis *1 pointA. SplenomegalyB. Chills and feverC. ElephantiasisD. Lymphadenitis10. Category I treatment regimen is for patients who are considered *1 pointA. Relapsed casesB. New pulmonary TB sputum positiveC. Newly diagnosed by smear negative for 3xD. Not serious extra pulmonary cases
Solution
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The best indicator that you can discontinue droplet precautions for a client with meningococcal meningitis is C. Appropriate antibiotics have been given for 24 hours. This is because the bacteria causing the infection are usually no longer contagious after 24 hours of effective antibiotic treatment.
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The nursing tasks that you can delegate to a nursing assistant when caring for a 6-year-old who has just undergone allogeneic stem cell transplantation and will need protective environment isolation are A. C, D, E. These tasks involve stocking the client’s room with the needed PPE items, reminding visitors to wear a respirator mask, gloves, and gown, and posting the precautions for protective isolation on the door of the client’s room.
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The best solution for cleaning the skin prior to the PICC insertion is C. 0.5% chlorhexidine in alcohol. This antiseptic is effective against a wide range of bacteria and yeasts and has a residual effect, providing ongoing antimicrobial action.
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If a 10-year-old client receiving chemotherapy for leukemia is exposed to a sibling with chickenpox, the next action you should anticipate taking is A. Administer varicella-zoster immune globulin to the client. This can provide immediate, short-term protection against the virus.
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The most effective action to reduce the incidence of hospital-associated urinary tract infections is D. Limit the use of indwelling foley catheter (IFC). The longer a catheter is in place, the higher the risk for a UTI.
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The drug of choice in filariasis is C. Hetrazan. This medication is used to treat certain worm infections.
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If a client comes to the center consultation with complaints of itchiness and eruptive lesions of legs and arms especially body folds like breast groin, and history reveals that she is living on a tenement, the nurse will suspect B. Scabies.
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Category II treatment regimen is directed towards all the listed conditions except D. None of the above.
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The chronic signs and symptoms of filariasis include C. Elephantiasis. This condition is characterized by extreme swelling in the arms and legs.
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Category I treatment regimen is for patients who are considered B. New pulmonary TB sputum positive. This regimen is used for patients with a new diagnosis of tuberculosis who are sputum positive.
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