Exhibits

A nurse is planning care for a newly admitted client. Which of the following interventions should the nurse plan to take first?

Initiate an IV access for the client.

Administer pain medication to the client.

Send the client to radiology for a CT scan.

Insert an NG tube for the client.

Answer and Explanation

The Correct Answer is A

A.   Initiating IV access is a priority to establish a route for medication administration and fluid resuscitation, which are crucial in the management of acute pancreatitis.
B.   Administering pain medication is important, but establishing IV access should be prioritized to ensure timely delivery of medications and fluids.
C.   Sending the client to radiology for a CT scan may be necessary but should not take precedence over establishing IV access for immediate intervention.
D.   Inserting an NG tube may be indicated later in the client's care but is not the first priority compared to establishing IV access.

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Correct Answer is D

Explanation

- Choice A: The recommended hepatitis vaccine series is not a series of four. The Advisory Committee on Immunization Practices (ACIP) recommends a three-dose series for hepatitis B vaccination.
- Choice B: Hepatitis B is not typically transmitted by contaminated food. It is primarily spread through direct contact with infectious blood, semen, or other body fluids.
- Choice C: While there is some evidence suggesting a link between chronic hepatitis C infection and an increased risk of renal cell carcinoma, the statement is not universally accepted as fact and more research is needed to establish a definitive connection.
- Choice D: Individuals with a history of hepatitis B or C are generally ineligible to donate blood due to the risk of transmission of these bloodborne viruses.

A. Sputum culture B. Chest x-ray C. QuantiFERON-TB Gold blood analysis D. Mantoux test

Correct Answer is D

Explanation

A. Sputum culture is used to diagnose active tuberculosis but is not typically used for routine screening of asymptomatic individuals.

B. Chest x-ray can detect active tuberculosis or its complications but is not typically used for routine screening of asymptomatic individuals.

C. QuantiFERON-TB Gold blood analysis is a blood test that detects the presence of tuberculosis infection but is not typically used for routine screening of asymptomatic individuals.

D. The Mantoux test, also known as the tuberculin skin test (TST), is commonly used for routine screening of tuberculosis infection in asymptomatic individuals, including new employees in healthcare settings.

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Exhibits A nurse is planning care for a newly admitted client. Which of the following interventions should the nurse plan to take first?

Nursing Test Bank

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Exhibits

A nurse is planning care for a newly admitted client. Which of the following interventions should the nurse plan to take first?