Disease Prevention

The nurse is discussing preventive health issues with an 18-year-old patient about to head to college. Patient says she will be living in the dormitories for the first year, at least, and is concerned about the possibility of catching meningococcal meningitis. Which of the following statements are accurate regarding meningococcal meningitis? Select all that apply

The nurse is caring for an HIV positive patient with disseminated herpes zoster. The nurse institutes which precautions for this patient?

The nurse is caring for an elderly patient with influenza. The nurse institutes which protective precautions for this patient?

The nurse is caring for a patient with a methicillin-resistant staphylococcal skin infection. Which of the following is the appropriate transmission-based precautions in the care of this patient?

The community health nurse is teaching a class on diabetes mellitus. Which symptoms of diabetes mellitus does the nurse include in the teaching? Select all that apply.

A patient with type 2 diabetes is noted to be hypertensive at this and the last clinic appointments. Which nursing intervention is most appropriate?

The nurse is planning care for a patient who has been diagnosed with type 2 diabetes mellitus. Which intervention is likely to be most effective for this patient?

A 45-year-old overweight patient has a fasting blood glucose level of 130 mg/dL. Which is the initial therapy for this patient?

The nurse learns the patient has a Factor IX deficiency. Which intervention does the nurse include in the care plan to promote safety specifically for this patient?

A patient with which condition must be placed on airborne isolation precautions?

A patient admitted with influenza A requires which isolation precautions?

The nurse notes the physician has entered the room of a patient who is infected with methicillin-resistant staphylococcus aureus without proper personal protective equipment and begins assessing the patient. Which response by the nurse is most appropriate?

The patient complains of poor sleep on a regular basis. Which statement by the patient provides an opportunity for education about sleep hygiene?

The patient tells the nurse, “My provider told me to increase my dietary intake of vitamin C, but I’m not sure how to get it.” Which food does the nurse encourage the patient to eat?

The nurse would provide a meal with healthy fats to a patient taking which vitamin supplement(s) to increase vitamin absorption? Select all that apply.

During preconception counseling, the nurse encourages a prospective mother to increase dietary intake of which vitamin in order to reduce her risk of having a baby with a neural tube defect?

A woman of childbearing age tells the nurse, “My mother lost a child to anencephaly. I’m so scared I will, too. How do I prevent that from happening to me?” The nurse recommends the woman increase ingestion of which food rich in vitamins that help prevent this condition?

The nurse is educating a patient on ways to increase dietary vitamin K intake. Which food, if selected by the patient as a good source of vitamin K, indicates a need for further teaching?

The patient tells the nurse, “My doctor wants me to take a vitamin D supplement for my osteoporosis, but I just don’t want to take another pill. What are some foods I can eat to increase my vitamin D?” The nurse counsels the patient to eat which foods high in vitamin D? Select all that apply.

The patient with a long history of intravenous drug abuse presents to the emergency department with white lesions on both sides of the tongue that change appearance every couple of days. Despite fatigue and recent weight loss, the patient’s assessment is normal. Which type of precautions does the nurse use for this patient?

The patient has requested to try electroacupuncture for chronic pain. Which of the following, if part of the patient’s past medical history, would prompt the nurse to contact the provider to have the order discontinued?

The patient who is bedridden, incontinent of urine, and requires multiple blankets to stay warm is at risk for hypothermia due to which methods of heat loss? Select all that apply.

An elderly patient requests hotter water during the bath. Which action by the nurse is most appropriate?

The nurse is assisting a patient with diabetic neuropathy with daily hygiene practices. Which of the following is most important to ensure safety for the patient?

The nurse encourages the patient who works the night shift to hang blackout curtains in the bedroom to promote sleep. The nurse makes this recommendation based on an understanding of which physiologic process?

The nurse informs a patient with a postvoid residual volume that straight catheterization must be performed to fully empty the patient’s bladder. Which rationale is most appropriate for the nurse to provide for this intervention?

The nurse is supervising the care of a patient with a urinary catheter by an unlicensed assistive personnel (UAP). Which action by the UAP would prompt the nurse to intervene immediately?

The nurse is reviewing a patient’s intake and output and notes the patient’s output has dropped drastically over the past 12 hours. Which intervention does the nurse perform first?

The nurse enters the patient’s room and notes the head of bed is at a 65-degree angle. The nurse is concerned about which type of tissue injury related to this positioning?

A patient who is immobilized following a motor vehicle accident is at risk for which imbalance?

The middle-aged patient requests information on how to prevent Alzheimer disease. The nurse provides information about which diet that has shown promise in reducing the risk of developing Alzheimer disease?

Which adverse effect of gabapentin is of greatest concern for the 85-year-old patient?

The nurse is assigned to care for a patient with human immunodeficiency virus (HIV) with an infected boil that requires lancing. Which personal protective equipment does the nurse don? Select all that apply.

The nurse is admitting a patient positive for human immunodeficiency virus (HIV). A fellow nurse states, “This patient is on contact precautions for his HIV status. You need to wear an isolation gown in addition to your gloves.” Which response by the nurse is most appropriate?

A 12-year-old male patient has received the first dose of the human papillomavirus vaccine in May of this year. When will the nurse schedule an appointment for him to come back to receive his second and third doses?

The nurse has counseled the patient who has been admitted for an exacerbation of chronic obstructive pulmonary disease about the dangers of smoking tobacco. Which statement by the patient indicates a need for further teaching? 

The patient with major depressive disorder has been prescribed a monoamine oxidase inhibitor (MAOI). The nurse has educated the patient on dietary restrictions that are required while taking an MAOI. Which statement by the patient indicates further teaching is required?

The patient who underwent an upper gastrointestinal radiographic study requires which post-procedure instruction?

Which statement by the novice nurse requires correction by the charge nurse?

Patients with which characteristics are at an increased risk for falls? Select all that apply.

Which situation in the hospital unit requires the most immediate attention?

The nurse is caring for the patient who was admitted to the hospital after a fall at the nursing home. Which intervention does the nurse implement in order to reduce the patient’s fall risk?

The nurse is providing education to a patient with localized shingles. Which statement by the patient indicates the teaching was effective?

A fire develops in the nurses’ station kitchen. Which action does the nurse take first?

The off-duty nurse passes a car accident. Which statement is true regarding this situation?

Which statement by the unlicensed assistive personnel (UAP) indicates an understanding of the proper way to transfer patients?

Which is an example of the mitigation phase of disaster planning?

The 8-year-old presents with a generalized rash. The patient's mother reports that some areas of the rash have developed into pimples that are oozing clear fluid. The nurse places this patient on which type of precaution(s)? Select all that apply.

Which statement by a patient with mumps indicates an understanding of the diagnosis?

The nurse is teaching a student nurse about cancer screening guidelines. Which statement by the student nurse indicates the need for further teaching?