A nurse is caring for a client.

Exhibit 1 Nurses' Notes Day 1: Exhibit 2 Exhibit 3 Client reports fatigue, weight loss, night sweats, and a persistent cough.

Performed a purified protein derivative test on the client and obtained a QuantiFERON-TB Gold blood test as prescribed.

Bilateral breath sounds with crackles and scattered wheezes throughout.

Cough productive for yellow, purulent sputum.

What are the first two actions the nurse should take?

Administer antibiotics and bronchodilators.

Initiate airborne precautions and isolation.

Start the client on cough suppressants and antihistamines.

Obtain sputum culture and chest X-ray.

Answer and Explanation

The Correct Answer is D

The first two actions the nurse should take are to obtain a sputum culture and a chest X-ray.
These tests can help diagnose the cause of the client’s symptoms and guide treatment.
Choice A is wrong because administering antibiotics and bronchodilators should only be done after a diagnosis has been made.
Choice B is wrong because airborne precautions and isolation may not be necessary depending on the cause of the client’s symptoms.
Choice C is wrong because cough suppressants and antihistamines may not be appropriate treatments depending on the cause of the client’s symptoms.

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Correct Answer is A

Explanation

This tort is committed by an assistive personnel who threatens to put a client in restraints for not following a provider’s prescription for strict bed rest because assault is defined as an intentional act that causes another person to fear that they will be harmed.
Choice B is wrong because defamation of character is not the tort committed in this situation.
Defamation of character involves making false statements that harm another person’s reputation.
Choice C is wrong because false imprisonment is not the tort committed in this situation.
False imprisonment involves intentionally restricting another person’s freedom of movement without their consent.
Choice D is wrong because the battery is not the tort committed in this situation.
Battery involves intentionally touching another person in a harmful or offensive manner without their consent.

A. Apply a bath blanket between the client and a cooling blanket. B. Place ice packs on the client's neck and behind the knees. C. Give the client a sponge bath using an alcohol-water solution. D. Cover the client with heavy blankets after shivering subsides.

Correct Answer is A

Explanation

A nurse should apply a bath blanket between the client and a cooling blanket when caring for a client who has a high fever.
This can help regulate the temperature of the environment and make it more comfortable for the patient.
Choice B is wrong because placing ice packs on the client’s neck and behind the knees is not recommended as it can cause further problems.
Choice C is wrong because giving the client a sponge bath using an alcohol-water solution is not recommended.
Choice D is wrong because covering the client with heavy blankets after the shivering subsides is not recommended as it can increase body temperature.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What tort is committed by an assistive personnel who threatens to put a client in restraints for not following a provider's prescription for strict bed rest?

Correct Answer is A

Explanation

A nurse is caring for a client who has a high fever. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is planning care for a client who is scheduled for an intravenous pyelogram. Which of the following actions is appropriate for the nurse to include?

A nurse is teaching an older adult client who has type 2 diabetes mellitus about how to care for corns and calluses on her toes. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?

A nurse is providing teaching to a client who has a newly prescribed hearing aid. Which of the following statements by the client indicates an understanding of the teaching?

A nurse receives a new prescription over the telephone from a client's provider. Which of the following actions should the nurse take first?

A nurse is preparing to administer IV fluids to a client. The nurse notes sparks when plugging in the IV pump. Which of the following actions should the nurse take first?

A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?

A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take?