An older adult is brought to the emergency department by a family member, who reports a moderate change in mental status and mild cough. The client is afebrile. The health care provider orders a chest x-ray.
The family member questions why this is needed since the manifestations seem so vague. What response by the nurse is best?
a.
Chest x-rays are always ordered when we suspect pneumonia.
b.
Older people often have vague symptoms, so an x-ray is essential.
c.
The x-ray can be done and read before laboratory work is reported.
d.
We are testing for any possible source of infection in the client.
Question 2The charge nurse on a medical unit is preparing to admit several clients who have possible pandemic flu during a preparedness drill. What action by the nurse is best?
a. Admit the clients on Contact Precautions.
b. Cohort the clients in the same area of the unit.
c. Do not allow pregnant caregivers to care for these clients.
d. Place the clients on enhanced Droplet Precautions.
Question 3A client is in the family practice clinic reporting a severe cold that started 4 days ago. On examination, the nurse notes the client also has a severe headache and muscle aches. What action by the nurse is best?
a. Educate the client on oseltamivir (Tamiflu).
b. Facilitate admission to the hospital.
c. Instruct the client to have a flu vaccine.
d. Teach the client to sneeze in the upper sleeve.
Question 4Which teaching point is most important for the client with bacterial pharyngitis?
a. Gargle with warm salt water.
b. Take all antibiotics as directed.
c. Use a humidifier in the bedroom.
d. Wash hands frequently.
Question 5A nurse in a family practice clinic is preparing discharge instructions for a client reporting facial pain that is worse when bending over, tenderness across the cheeks, and postnasal discharge. What instruction will be most helpful?
a. Ice packs may help with the facial pain.
b. Limit fluids to dry out your sinuses.
c. Try warm, moist heat packs on your face.
d. We will schedule you for a computed tomography scan this week.
Question 6A nurse working in a geriatric clinic sees clients with cold symptoms and rhinitis. Which drug would be appropriate to teach these clients to take for their symptoms?
a. Chlorpheniramine (Chlor-Trimeton)
b. Diphenhydramine (Benadryl)
c. Fexofenadine (Allegra)
d. Hydroxyzine (Vistaril)
Question 7A nurse cares for a client who is prescribed an intravenous prostacyclin agent. Which actions should the nurse take to ensure the client's safety while on this medication? (Select all that apply.)
a. Keep an intravenous line dedicated strictly to the infusion.
b. Teach the client that this medication increases pulmonary pressures.
c. Ensure that there is always a backup drug cassette available.
d. Start a large-bore peripheral intravenous line.
e. Use strict aseptic technique when using the drug delivery system.
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