A home health nurse has been called to the home of an older postoperative cardiovascular client by
the client's son. The son tells the nurse, "We're using a hospital bed here at home, but my mother
has fallen out of bed three times." Which observation by the nurse reflects an increased risk of this
client's falling out of bed? - ANSWER The caregiver leaves both side rails down while the client is in
bed.
A community health nurse is providing information to local residents about the transmission of
anthrax. Through which body systems does the nurse tell the residents that anthrax can be
contracted? - ANSWER Lungs
Skin
Gastrointestinal
A nurse is preparing a chemotherapy infusion to be administered to a client with a diagnosis of
Hodgkin's disease. Which of the following precautions should the nurse take while working with
this intravenous (IV) infusion? - ANSWER Wearing gloves, a mask, and eye protection.
A nurse is preparing a continuous intravenous (IV) infusion at the medication cart. As the nurse
goes to attach the IV tubing port to the solution bag, the tubing drops, hitting the top of the
medication cart. Which action should the nurse take to maintain asepsis? - ANSWER Obtaining
new IV tubing.
A home health nurse is visiting a client with tuberculosis (TB). Which action by the client tells the
nurse that the client understands the necessary respiratory precautions to be taken at home? -
ANSWER Disposing of contaminated tissues in a container with a leak-proof bag.
A home health nurse teaches a client about home modifications to reduce the risk of falls. Which
statements by the client indicate a need for further teaching? - ANSWER -I should walk barefoot as
much as possible so that I ll know about any wet spots on the floor.
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