Disease Prevention

The nurse is caring for a 55-year-old female patient who is scheduled for a Venous Doppler examination. Which of the following instructions will likely be on the patient instruction sheet?

The nurse is providing medication teaching to a patient receiving lithium for management of bipolar disorder. The nurse instructs the patient to take in similar levels of which nutrient each day?

The nurse is instructing the nursing student on indwelling urinary catheterization. Which statement does the nurse include in the teaching? 

​The nurse is supervising the care of the patient prior to a surgical procedure who has been ordered to receive a clear liquid diet. Which food item, if provided to the patient by the unlicensed assistive personnel, prompts the nurse to intervene with further education? 

Following a minor abdominal surgical procedure, the patient is complaining of abdominal discomfort when coughing. Which nursing intervention is most important?

The nurse is caring for a 60-year-old female patient who is confined to bed and most closely monitors for signs of which complication?

The nurse is caring for a 50-year-old male patient with osteoarthritis who is prescribed a non-steroidal anti-inflammatory drug for pain. Which instruction does the nurse provide to the patient?

A 38-year-old unconscious man with a diagnosis of alcohol intoxication is lying on his back in the emergency department. Suddenly he starts vomiting. Which of the following is the best next step?

A 73-year-old man is brought to the emergency department with complaints of profuse watery diarrhea, 7 to 8 times per day over the last three days. Which of the following is the best next step?

The nurse is caring for a patient with tuberculosis. Which personal protective equipment is appropriate?

An 18-year-old patient asks the nurse for assistance in choosing a birth control method. She tells the nurse that she smokes infrequently and has trouble remembering to take her daily vitamins. Which method does the nurse recommend to the patient?

The nurse is providing pre-procedure education to a patient prior to surgery requiring general anesthesia. Which question by the patient indicates a need for further teaching?

Which individual is at the highest risk for hepatitis C infection?

The nurse is reviewing patient charts for risk factors for hypertension. Which characteristics does the nurse include in the search? Select all that apply.

The patient presents to the urgent care clinic with a hand laceration sustained while using pruning shears in the garden. Which vaccine is most important for this patient?

The patient presents to the clinic following being bitten by a bat while cleaning out a barn. The nurse anticipates administering which vaccine?

The patient in the clinic requests information on preventing pregnancy and sexually transmitted infections. The nurse advises the patient about which strategy?

A 60-year-old patient never received a varicella vaccine and does not remember ever having chickenpox. However, you notice several ulcerated scars that look like scars from chickenpox. You anticipate an order for which of the following?

A client admitted with status asthmaticus requires endotracheal intubation and mechanical ventilation. Which intervention decreases the client’s risk for ventilator-associated pneumonia?

The nurse is teaching a client with new-onset type 1 diabetes mellitus about his care. Which statement by the client indicates that teaching was effective?

Which central venous access site is preferred in an adult with normal kidney function to reduce the risk for central line-associated bloodstream infection?

The nurse is providing education to parents of young children regarding car seat safety. Which statement by the parent indicates the teaching was effective?

The nurse is assessing a neonate’s fit in the car seat for safety. The nurse notes the parent has placed the clip snugly against the infant’s chest at the level of the armpits; the nurse cannot pinch any slack at the shoulder straps. Which response by the nurse is appropriate?

The nurse is performing an electrocardiogram on a patient with rhabdomyolysis. The patient asks the nurse what the rationale is for this test, since he is young and has no cardiac history. Which of the following responses by the nurse is most appropriate?

The nurse suffers a needlestick from a patient with human immunodeficiency virus (HIV). After washing the injury with soap and water, which action does the nurse take first?

Which is the appropriate intervention in caring for a patient who is blind and deaf?

Which action does the nurse take first when caring for a patient with meningococcal meningitis?

Which infection requires contact precautions?

Which patient involved in a mass casualty accident is treated at the scene first?

A patient is admitted with suspected tuberculosis. Which of the following is correct regarding the transmission-based precautions for this patient?

The nurse notices a patient walking in the hall who has a wristband indicating he is a fall risk. Which action does the nurse take?

Which task can be performed by an unlicensed assistive personnel?

The nurse educates the patient taking atorvastatin that she may need to return to the clinic for which laboratory test?

Which intervention does the nurse include in the care plan to ensure safety of a patient with vertigo?

The nurse experiences a needlestick injury when drawing blood from a patient with hepatitis C virus. Which action does the nurse take first?

A patient recently diagnosed with amyotrophic lateral sclerosis asks the nurse how this disease occurs. While the etiology of ALS is unknown, the nurse bases the response on an understanding of epigenetic effects on which protein?

The nurse learns that a patient is suspected to have a lysosomal storage disease. The nurse prepares to assist with testing for which disease(s)? Select all that apply.

The nurse uses an understanding of which physiologic process to explain why the patient feels out of breath at high altitudes?

The nurse is providing genetic counselling to a couple of Ashkenazi Jewish descent, who wish to have a child. For which of the following conditions would the child be at an increased risk?

The nurse is educating some prospective parents about Down syndrome. Which of the following characteristics is associated with the highest risk for Down syndrome?

The nurse is assisting with genetic counseling for a couple in which the mother has a rare autosomal dominant condition, and the father does not have the condition. Which of the following statements by the nurse is most accurate?

The nurse is assisting with genetic counseling for a couple who wishes to have a child. Both individuals have an autosomal dominant condition for which both are heterozygous. With each pregnancy, what is the chance the child will be unaffected by the condition?

The nurse is assisting with genetic counseling for a couple with a history of hemophilia A in their families. Which of the following statements by the nurse is true regarding X-linked diseases like hemophilia A?

The nurse is providing education to a woman of childbearing age about prenatal care. The nurse counsels the woman to increase dietary intake of which of the following substances that would help prevent neural tube defects in her future children?

The nurse is educating the parents of a child diagnosed with maple syrup urine disease. The nurse asks the parent, “Which nutrient should you avoid giving your child?” Which of the following responses by the parents indicates a need for further teaching?

A child with maple syrup urine disease presents to the emergency department with vomiting, diarrhea, lethargy and seizures for the past two days. Which of the following treatments should be started first for this patient?

A young adult patient with phenylketonuria who is taking tyrosine supplements complains of severe headaches. Which of the following responses by the nurse is most appropriate?

A neonate’s newborn screen has tested positive for phenylketonuria. While diagnostic testing is performed, the nurse educates the parents to avoid foods high in which nutrient?

The nurse is assigned to a patient who presents to the emergency department with a severe headache. Upon physical assessment, the patient’s heart rate is 114 bpm, temperature is 38.2[Symbol]C (100.8[Symbol]F), and the blood pressure is 149/93 mmHg. Which of the following questions by the nurse is most important?

The nurse is assigned to care for a patient with a history of thromboembolism but in whom conventional anticoagulant therapy is contraindicated due a recent spinal injury. The nurse adds which preventative measure to the patient’s plan of care to prevent thromboembolism?