42) A nurse participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?

A system for tracking client information

A sufficient supply of personal protective equipment

A mental health specialist on the response team

A network for communication between staff members and families

Answer and Explanation

The Correct Answer is B

a.   A system for tracking client information: While important for managing patients during a disaster, it may not be the highest priority resource in response to a bioterrorism event where protection against exposure to hazardous materials is paramount.
b.   A sufficient supply of personal protective equipment: In a bioterrorism event, such as exposure to biological agents, personal protective equipment (PPE) is critical to prevent the spread of pathogens and protect healthcare workers and patients from contamination.
c.   A mental health specialist on the response team: Mental health support is important for both staff and patients during and after a disaster, but it may not be the highest priority resource in the immediate response to a bioterrorism event.
d.   A network for communication between staff members and families: Communication is essential during any disaster response, but ensuring an adequate supply of personal protective equipment takes precedence in the face of potential exposure to biological agents.

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Correct Answer is A

Explanation

Rationale:
a. Administering an enema for a scheduled endoscopy is within the scope of practice for an LPN. It involves a task that is repetitive, stable, and does not require critical thinking.
b. Developing an initial plan of care for a client with sickle cell anemia involves critical thinking and assessment, which are within the scope of practice for an RN.
c. A client transferring from the CCU after a myocardial infarction requires close monitoring and assessment, which are typically within the scope of practice for an RN.
d. Teaching a newly admitted client about self-administration of insulin involves education, assessment, and critical thinking, which are typically within the scope of practice for an RN.

A. "I will place a client who has a compromised immunity in a negative air pressure room" B. "I will wear a N95 respirator mask when caring for a client who is on droplet precautions" C. "I will instruct visitors to wear a mask when visiting a client who is on contact precautions" D. "I will have a client who is on airborne precautions wear a mask when out of her room"

Correct Answer is D

Explanation

a. Clients with compromised immunity are often placed in protective environments, but not necessarily in negative air pressure rooms. These rooms are typically reserved for clients on airborne precautions.
b. An N95 respirator is required for airborne precautions, not droplet precautions. A regular surgical mask is sufficient for droplet precautions.

c. Contact precautions primarily focus on preventing the transmission of pathogens through direct or indirect contact. Visitors are usually instructed to wear personal protective equipment (PPE) when entering the room, but the focus is on healthcare workers wearing PPE during patient care.
d. A client on airborne precautions (e.g., for tuberculosis or measles) should wear a mask (preferably an N95 or equivalent) when leaving the room to prevent spreading airborne pathogens

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42) A nurse participating in the development of a disaster management plan for a hospital. The nurse should recognize that which of the following resources is the highest priority to have available in response to a bioterrorism event?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is delegating care for a group of clients. Which of the following clients should the nurse assign to the LPN?

Correct Answer is A

Explanation

A nurse manager is reviewing isolation guidelines with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teachings?

Correct Answer is D

Explanation

A nurse is preparing a teaching session with a client who speaks a different language than the nurse. Which of the following interventions should the nurse plan to include?

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A nurse is preparing a client for an elective mastectomy. The client is wearing a plain gold wedding band. Which of the following is the appropriate procedure for taking care of the client's ring?

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