An assistive personnel (AP) asks a nurse what precautions he should take when measuring the vital signs of a client who has pneumonia. Which of the following responses should the nurse make?

"Wear a mask when entering the client's room."

"Gloves are not necessary if you wash your hands well."

"Place a mask on the client when you check her vital signs."

"Wear a gown whenever you come in close contact with the client."

Answer and Explanation

The Correct Answer is A

A.   Wearing a mask helps prevent the spread of respiratory droplets that may contain infectious pathogens, such as those causing pneumonia. It protects both the client from potential pathogens carried by the AP and the AP from potential exposure to the client's respiratory secretions.

B.   Gloves should be worn when there is a risk of contact with the client's body fluids, including respiratory secretions, to prevent transmission of infectious agents. Hand hygiene (washing hands well) is important but does not replace the need for gloves in situations where there is a risk of exposure to bodily fluids.
C.   Placing a mask on the client would not typically be required unless the client is coughing excessively and the mask is intended to contain respiratory droplets. However, the focus of precautions should primarily be on protecting the AP.
D.   Wearing a gown may be necessary if there is a risk of contamination with respiratory secretions or if the AP anticipates contact with the client's body fluids. However, it is not specifically required for routine vital sign measurement unless there is visible contamination or extensive contact with the client's secretions.

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Correct Answer is C

Explanation

A. Apples are a good source of fiber, with about 4.4 grams of fiber in a medium-sized apple with the skin. Apples contain soluble and insoluble fiber, which can aid in digestion and help prevent constipation. This is a suitable choice for a high-fiber snack.
B. Almonds are nutritious and provide fiber, but they are not as high in fiber compared to other options like fruits, vegetables, and whole grains. One ounce of almonds contains about 3.5 grams of fiber. While almonds are beneficial, they are not typically the primary choice for increasing fiber intake to alleviate constipation.
C. Bran cereals are often recommended for their high fiber content. Half a cup of bran cereal can provide around 10 grams of fiber or more, depending on the brand and type. Bran cereals are particularly rich in insoluble fiber, which adds bulk to stool and helps promote regular bowel movements. This is an excellent choice for increasing fiber intake to manage constipation.
D. Sweet potatoes are nutritious and contain dietary fiber, with about 3.8 grams of fiber in half a cup of cooked sweet potatoes. While they contribute to fiber intake, they generally do not provide as much fiber compared to options like whole grains or bran cereals.

A. The oliguric phase lasts for 2 days. B. The client's urine output is less than 400 mL per 24 hours. C. The oliguric phase begins within 1 month of the injury. D. The client's BUN and creatinine decreases during this phase.

Correct Answer is B

Explanation

A. The oliguric phase of AKI typically lasts longer than 2 days. It can extend from several days to weeks, depending on the underlying cause and the response to treatment.
B. During the oliguric phase of AKI, urine output is significantly reduced. Typically, urine output is less than 400 mL per day, but it can vary widely based on the severity of kidney injury and individual factors.
C. The oliguric phase of AKI usually begins within a few days to a week after the initial injury. It is characterized by a sudden decrease in urine output and may be accompanied by electrolyte imbalances and fluid overload.
D. During the oliguric phase of AKI, there is typically a buildup of waste products such as blood urea nitrogen (BUN) and creatinine in the blood. These levels rise because the kidneys are unable to effectively filter and excrete waste products. Therefore, BUN and creatinine levels usually increase during the oliguric phase.

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An assistive personnel (AP) asks a nurse what precautions he should take when measuring the vital signs of a client who has pneumonia. Which of the following responses should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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