You are admitting a client from a long-term care facility with a new diagnosis of Hepatitis A. He has a history of a cerebral vascular accident (CVA) that has left him incontinent of both urine and stool. Which of the following is the most appropriate level of precautions?

Droplet precautions

Contact precautions

Standard precautions are only necessary as there is no risk of transmission.

Airborne precautions

Answer and Explanation

The Correct Answer is B

Choice A reason (precautions): Droplet precautions are not the primary recommendation for Hepatitis A, as it is not primarily spread through droplets.
Choice B reason (precautions): Contact precautions are recommended for patients with Hepatitis A due to the risk of fecal-oral transmission, especially in a patient with incontinence.
Choice C reason (precautions): While standard precautions are always necessary, they are not sufficient alone for Hepatitis A, which requires additional precautions due to its mode of transmission.
Choice D reason (precautions): Airborne precautions are not required for Hepatitis A, as it is not spread through the air.

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Correct Answer is A

Explanation

Choice A reason: Asking about numbness or tingling is important to rule out neurological issues that could be causing the neck pain.

Choice B reason: While heat and cold therapy may provide relief, it is not the first action to take before assessing the cause of the pain.

Choice C reason: Providing information about exercises is helpful but should come after an initial assessment.

Choice D reason: Teaching about NSAIDs is part of pain management but should follow an assessment of symptoms and potential causes.

A. Right arm muscle spasms B. Temperature of 99.9°F (37.7°C) C. Loss of the right radial pulse D. Pain with right arm movement

Correct Answer is C

Explanation

Choice A reason: Right arm muscle spasms may be uncomfortable but are not as critical as circulatory issues.

Choice B reason: A temperature of 99.9°F (37.7°C) is slightly elevated but not immediately alarming post-surgery.

Choice C reason: Loss of the right radial pulse could indicate a serious complication such as compartment syndrome, which requires urgent atention.

Choice D reason: Pain with arm movement is expected post-surgery but is not as urgent as loss of pulse.

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You are admitting a client from a long-term care facility with a new diagnosis of Hepatitis A. He has a history of a cerebral vascular accident (CVA) that has left him incontinent of both urine and stool. Which of the following is the most appropriate level of precautions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which action should the nurse take first when a patient is seen in the outpatient clinic with neck pain?

Correct Answer is A

Explanation

A patient has had surgical reduction of an open fracture of the right radius this morning. Which assessment findings should the nurse report immediately to the health care provider?

Correct Answer is C

Explanation

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