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A nurse is admitting a client who has active tuberculosis. Which of the following nursing interventions is appropriate?

Place the client in a room that is ventilated to the outside.

Wear a gown when delivering the client's food tray.

Prohibit visitors while the client's infection is active.

Administer a tuberculin skin test prior to discharge.

Answer and Explanation

The Correct Answer is A

A nurse admitting a client who has active tuberculosis should place the client in a room that is ventilated to

the outside. This is an appropriate nursing intervention to prevent the spread of tuberculosis to others.

The other options are not correct.

b) The nurse does not need to wear a gown when delivering the client's food tray but should wear a mask and gloves.

c) Visitors are not prohibited while the client's infection is active but should be limited and should wear masks.

d) A tuberculin skin test is not necessary prior to discharge as the client has already been diagnosed with active tuberculosis.

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Correct Answer is C

Explanation

c. Periorbital edema.

Explanation: Acute glomerulonephritis is an inﬂammatory condition aﬀecting the glomeruli of the kidneys. It is commonly characterized by periorbital edema, which is swelling around the eyes. This occurs due to ﬂuid retention and impaired kidney function. Other common manifestations of acute glomerulonephritis include hypertension (increased blood pressure), dark or tea-colored urine (hematuria), decreased urine output, and signs of ﬂuid overload such as edema in the hands, feet, and face.

Option a, decreased blood pressure, is not typically seen in acute glomerulonephritis. Instead, hypertension is a common finding due to ﬂuid retention and increased blood volume.

Option b, pale yellow urine, is not expected in acute glomerulonephritis. Instead, urine may appear dark or

tea-colored due to the presence of blood (hematuria).

Option d, increased urination, is not a characteristic finding in acute glomerulonephritis. Instead, there is often a decrease in urine output or oliguria.

It is important to note that individual presentations may vary, and the nurse should consider the complete clinical picture and the child's specific symptoms when assessing for acute glomerulonephritis.

A. Aﬀected extremity warm to touch B. Moderate pain on the ankle of the aﬀected extremity C. Blanch time of 2 seconds in the toenail beds of the aﬀected extremity D. Palpation of a +1 dorsal pedal pulse of the aﬀected extremity

Correct Answer is B

Explanation

A nurse collecting data on a client who has swelling of the lower leg should identify that moderate pain on the ankle of the aﬀected extremity is a manifestation of compartment syndrome. Compartment syndrome is a painful condition that occurs when pressure within a muscle compartment increases to dangerous levels.

The other options are not typical symptoms of compartment syndrome.

a) An aﬀected extremity being warm to touchis not a typical symptom of compartment syndrome.

c) A blanch time of 2 seconds in the toenail beds of the aﬀected extremity is not a typical symptom of compartment syndrome.

d) Palpation of a +1 dorsal pedal pulse of the aﬀected extremity is not a typical symptom of

compartment syndrome.

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A nurse is admitting a client who has active tuberculosis. Which of the following nursing interventions is appropriate?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who has acute glomerulonephritis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is collecting data on a client who has swelling of the lower leg. The nurse should identify that which of the following findings is a manifestation of compartment syndrome?

Correct Answer is B

Explanation

A nurse in a mental health facility is caring for a client who has a major depressive disorder. Exhibits here A nurse is planning to reinforce teaching with a client who is scheduled for a procedure. Which of the following statements should the nurse plan to make? Select all that apply.

A nurse is observing an assistive personnel (AP) apply antiembolic stockings for a client. The nurse should identify that which of the following actions by the AP indicates an understanding of the procedure.

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A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?