NCBSN practice exam 1 s80. The nurse is caring for a client who has a prescription for a sputum specimen

  

NCBSN practice exam 1 s80. The nurse is caring for a client who has a prescription for a sputum specimen for culture and sensitivity (C & S). Which of the following actions should the nurse take?1.Request a prescription for a bronchodilator to be administered before the specimen is obtained.2.Place the specimen in the refrigerator until it can be transported to the laboratory.3.Tell the client to rinse the mouth with water before the specimen is obtained. 4.Obtain the sputum specimen before the client goes to bed at night. 84. The charge nurse in a long-term care facility has been advised that the following assigned clients will be admitted during the shift. The charge nurse should assign the only available private room to the client with1.Pneumocystis pneumonia (PCP) 2.a positive varicella zoster titer 3.hepatitis C (HCV)4.a positive cytomegalovirus (CMV) titer  105. The charge nurse in a long-term care facility has just completed client care assignments for unlicensed assistive personnel (UAP). Which of the following statements by the charge nurse would provide the best direction to a UAP about the assignment?1.”The client with heart failure should be weighed and have vital signs checked before breakfast is served.”2.”You will need to assist the client with mild Alzheimer’s disease (AD) with activities of daily living (ADL).”3.”You need to follow proper infection control precautions when assisting the client with active pulmonary tuberculosis (TB).”4.”The client with paraplegia should have the monthly safety check completed on the wheelchair.” 107. The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). Which of the following statements by the nurse would provide UAP with the best directions about an assignment?”The client is weak on the right side, so please assist the client with dressing and bathing.””Please check the client’s capillary blood glucose level, and tell me the results by 0700.””We need to document vital signs for the client every 4 hours today.””Please encourage the client to change positions frequently.”108. The nurse in a long-term care facility is making client care assignments for unlicensed assistive personnel (UAP). Which of the following statements by the nurse would provide UAP with the best directions for the assignment?1.”Clients who are able to ambulate should be assisted to ambulate after meals.”2.”Notify me if any client develops an abnormal temperature.”3.”Check the meal trays distributed to clients with diabetes mellitus (type 1).”4.”Obtain vital signs first for the client with hypertension and report the results to me.” 112. The nurse is caring for a client with pneumococcal pneumonia. Which of the following statements by the client would require follow-up?1.”I have four cats.”2.”I stopped smoking four years ago.”3.”I usually swim twice a week.”4.”I live with my 89-year-old mother.” 114. The nurse is collecting data from a client with an acute myocardial infarction (MI). Which of the following findings would be consistent with an acute MI ? Select all that apply.1.nausea and vomiting2.diaphoresis3.dyspnea4.nailbed splinter hemorrhages5.Petechiae 121. The nurse is caring for a client with moderate Alzheimer’s disease (AD). The nurse should immediately intervene if a staff member is observed1.providing the client with a sandwich to eat while wandering in the hallway2.offering the client several ounces of fluid at regular intervals3.securing the client to a shower chair before the shower begins4.letting the client choose what sweater to wear 122. The nurse is talking with a client who has schizophrenia. The client states, “I just returned from Mars.” Which of the following responses would be appropriate for the nurse to make?1.”I need to tell you that you cannot talk about silly things here.” 2.”Why do you think you made that trip?” 3.”How does it feel to be back?” 4.”I am here to listen to your concerns.”   Health Science Science Nursing NURS 4223B Share (0)