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An unlicensed assistive personnel (UAP) assigned to feed a client with meningococcal infection, for whom droplet precautions have been implemented, requests a change in assignment, reporting they have not yet been fitted for an N95 respirator mask. Which action should the nurse take?

Advise the UAP to wear a standard face mask to take vital signs, and then get fitted for a filter mask before providing personal care.

Instruct the UAP that a standard face mask is sufficient for the provision of care for the assigned client.

Before changing assignments, determine which staff members have fitted particulate filter masks.

Send the UAP to be fitted for a particulate filter mask immediately to be able to provide care to this client.

Answer and Explanation

The Correct Answer is B

Choice A reason: While fitting for an N95 mask is important, it is not required for droplet precautions, which are appropriate for meningococcal infections.

Choice B reason: For meningococcal infections, droplet precautions, including a standard face mask, are recommended for the first 24 hours of antimicrobial therapy.

Choice C reason: It is the responsibility of the healthcare facility to ensure that all staff members who require it are fitted for particulate filter masks, but this does not apply to droplet precautions for meningococcal infections.

Choice D reason: Sending the UAP for an immediate fitting for a particulate filter mask is unnecessary for droplet precautions and could delay essential care for the client.

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Correct Answer is C

Explanation

Choice A reason: Fibromyalgia is a chronic condition characterized by widespread pain, but it is not directly associated with obstructive sleep apnea.

Choice B reason: Peptic ulcer disease is not commonly linked to obstructive sleep apnea.

Choice C reason: Hypertension is a known complication of obstructive sleep apnea due to the recurrent episodes of low oxygen levels during sleep, which can lead to increased blood pressure.

Choice D reason: Hypothyroidism is a condition affecting the thyroid gland and is not typically a complication of obstructive sleep apnea.

A. Observe color and amount of urine. B. Determine apical pulse rate and rhythm. C. Compare muscle strength bilaterally. D. Assess strength of deep tendon reflexes.

Correct Answer is B

Explanation

Choice A reason: Observing the color and amount of urine is important for assessing kidney function and hydration status but is not the most critical intervention for hypokalemia, which can have immediate life-threatening cardiac effects.

Choice B reason: Determining the apical pulse rate and rhythm is the most important intervention. Hypokalemia can lead to serious cardiac arrhythmias, and the apical pulse is the most accurate non-invasive way to assess cardiac rhythm and rate.

Choice C reason: Comparing muscle strength bilaterally is important for assessing the impact of hypokalemia on muscle function, but it is not as immediately life-threatening as cardiac effects.

Choice D reason: Assessing the strength of deep tendon reflexes can help evaluate neuromuscular involvement in hypokalemia but is less critical than monitoring for cardiac arrhythmias.

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An unlicensed assistive personnel (UAP) assigned to feed a client with meningococcal infection, for whom droplet precautions have been implemented, requests a change in assignment, reporting they have not yet been fitted for an N95 respirator mask. Which action should the nurse take?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client with obstructive sleep apnea. The nurse should recognize that the client is at greater risk for the development of which complication?

Correct Answer is C

Explanation

When assessing a client with a serum potassium level of 2.5 mEq/L (2.5 mmol/L), which intervention is most important for the nurse to implement? Reference Range: Potassium (K+) 3.5 to 5 mEq/L (3.5 to 5 mmol/L)

Correct Answer is B

Explanation

While preparing to obtain a stool specimen for occult blood, the nurse observes that the client's feces is soft, formed, and light brown. Which action should the nurse implement?

The nurse is teaching a spouse how to care for a client who recently had a stroke and has residual weakness on the right side. Which style of shoes should the nurse recommend the client wear when ambulating with the spouse's assistance?

The nurse receives a report that a patient with an indwelling urinary catheter has an output of 150 mL for the previous 8-hour shift. Which intervention should the nurse implement first?

When performing blood pressure measurements to assess for orthostatic hypotension, which action should the nurse implement first?

Patient Data Exhibits Based on the trending heart rate and pain score, what should the nurse do? Select all that apply.

The nurse is preparing an in-service on the Health Insurance Portability and Accountability Act (HIPAA) violations. Which example should the nurse use to demonstrate a HIPAA violation?