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Problem 86

Which of the following measures is associated with decreasing hospital clients鈥 risk for iatrogenic harm? 1\. providing a health promotion program of annual physical examinations and age-specific screenings for employees 2\. requiring nursing personnel to successfully complete a medication administration test 3\. requiring medical personnel to complete a guest relations/interpersonal communication training program 4\. requiring pharmacists to become specialized in their respective areas of care

Problem 87

Which of the following actions assures the client that care is being provided by a competent professional? 1\. a copy of the nurse鈥檚 license in plain view at the nurses鈥 station 2\. the original nursing license being worn on the nurse鈥檚 person at all times 3\. a plaque posting the JCAHOA accreditation in the main lobby of the hospital 4\. the nurse鈥檚 wearing of a photo-identification with the title of RN displayed

Problem 88

Several passengers aboard an airliner suddenly become weak, suffer difficulty breathing, and collapse. The differential diagnosis is highly suspicious for: 1\. outbreak of Asian flu. 2\. chemical act of terror. 3\. bacterial pneumonia. 4\. allergic reaction.

Problem 89

A child presents to the clinic with a skin rash and low-grade temperature. The lesions are widely distributed on the extremities distally, maculopapular and oozing a honey-colored liquid and are in different stages of healing. The caregiver states that the sores are getting worse and seem to spread with the child鈥檚 scratching. Which of the following advisory comments will be given? 1\. The history and presentation indicates chicken pox, a highly contagious disease. 2\. The lesions may indicate a contagious infection that will require isolation. 3\. The history and presentation may indicate a infectious illness called impetigo. 4\. The lesions are not contagious unless others have open wounds or lesions themselves

Problem 90

The nurse is teaching the client about Rifampin for prophylaxis against an exposure to meningitis. What change in bodily functions will he advise? 1\. 鈥淵our urine will turn blue.鈥 2\. 鈥淵ou will remain infectious to others for 48 hours.鈥 3\. 鈥淵our contacts may be stained orange.鈥 4\. 鈥淵our skin may take on a crimson glow.鈥

Problem 91

The client with HIV is being treated for oral irritation characterized by patchy areas of white plaques. He asks the nurse whether these lesions are contagious to his partner. The nurse teaches the client that: 1\. HIV viral infection is transmitted by blood/body fluids contact. 2\. the lesions are not contagious to others. 3\. the lesions are contagious only if transmitted sexually. 4\. a culture of the plaque will be taken and then the client will know for sure.

Problem 92

To determine the stage of infection of HIV/AIDS, what laboratory tests are taken? 1\. Elisa 2\. CD4, HIV load 3\. Polymerase Chain Reaction (PCR) 4\. Hepatitis, PPD

Problem 93

A stool culture reveals 鈥淪higella.鈥 The nurse recognizes what corollaries regarding this bacterial infection? 1\. Persons who have been in contact with the client will need to be tested. 2\. Shigella is an airborne infection. 3\. Shigella is a bacteria sometimes found in stagnate water. 4\. The nurse will wear a one-way breathing apparatus when giving patient care.

Problem 95

Serum Vancomycin levels are taken to measure which of the following? 1\. renal function 2\. therapeutic range 3\. trough levels 4\. antibiotic resistanc

Problem 95

The client on floxacin must be alerted to which of the following adverse effects? 1\. stunting of height in teens and young adults 2\. propensity of anovulatory uterine bleeding 3\. intractable diarrhea 4\. tendon rupture

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