The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health.
Which interventions are appropriate? Select three options that apply.

Ensure comfortable seating at eye level for the client and nurse.

Provide seating for the client so that the client faces a strong light.

Ensure that the distance between the client and nurse is at least 7 ft (2.1 meters).

Place a chair for the client across from the nurse's desk.

Set the room temperature at a comfortable level.

Remove distracting objects from the interviewing area.

Answer and Explanation

Correct Answer : A,E,F

A. Ensure comfortable seating at eye level for the client and nurse: Establishes a non-intimidating environment, helping the client feel more at ease.

B. Provide seating for the client so that the client faces a strong light: Incorrect; this may cause discomfort and make the client feel scrutinized.

C. Ensure that the distance between the client and nurse is at least 7 ft: Too great a distance for effective communication; ideal distance is 3-4 feet.

D. Place a chair for the client across from the nurse's desk: Creates a formal, potentially intimidating setting, discouraging openness.

E. Set the room temperature at a comfortable level: Ensures physical comfort, aiding in client relaxation and openness.

F. Remove distracting objects from the interviewing area: Minimizes potential distractions, keeping the client focused and the environment conducive to communication.

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Correct Answer is B

Explanation

A. Increasing the consumption of protein-rich foods like baked salmon is beneficial for clients with AIDS, as they often require higher protein intake to support their immune system and overall health.

B. Eating raw fruits and vegetables can pose a risk for clients with compromised immune systems, as these foods may harbor pathogens that can lead to infections. This statement indicates a need for further education regarding safe food handling and preparation.

C. Washing plates and utensils with soap and hot water is a proper practice to maintain hygiene and prevent infections, especially for clients with weakened immune systems.

D. Asking a partner to clean the cat's litter box is a good precaution since cat litter can be a source of toxoplasmosis, which can be harmful to immunocompromised individuals.

Correct Answer is ["117"]

Explanation

Infusion rate (mL/hr) = Volume to be infused (mL) / Time (hr)

In this case:

Volume to be infused = 350 mL
Time = 3 hours

Plugging the values into the formula:

Infusion rate = 350 mL / 3 hours = 116.67 mL/hr

Rounding to the nearest whole number, the infusion rate is 117 mL/hr.

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The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health. Which interventions are appropriate? Select three options that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with Acquired Immunodeficiency Syndrome (AIDS). Which client statement demonstrates a need for further education?

Correct Answer is B

Explanation

A nurse is administering a unit of RBC 350 mL over 3 hr to a client who has anemia. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["117"]

Explanation

A nurse is preparing to transfuse a unit of packed red blood cells for a client with severe anemia. The nurse should identify that which of the following interventions will help prevent an acute hemolytic reaction?

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A nurse is planning care for a client with pernicious anemia. Which intervention should the nurse plan to implement?

The nurse is setting up the physical environment for an interview with a client and plans to obtain subjective data regarding the client's health.
Which interventions are appropriate? Select three options that apply.