The nurse is teaching family members of a client with hepatitis A virus (HAV). Family members were exposed to the client and, therefore, should receive immunoglobulin. The nurse should tell the family members that immunoglobulin
A. prevents hepatitis infection in all people.
B. provides immunity for life.
C. must be administered within 2 weeks of exposure.
D. should be administered even if the person has anti-HAV antibodies.
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The nurse is performing a painless, noninvasive procedure to measure arterial oxygen saturation (SaO2). What procedure is it
A. Incentive spirometry.
B. Arterial blood gas (ABG) measurement.
C. Peak flow measurement.
D. Pulse oximetry.
The nurse is caring for a client who is suicidal. When accompanying the client to the bathroom, the nurse should
A. give him privacy in the bathroom.
B. allow him to shave.
C. open the window and allow him to get some fresh air.
D. observe him.
While auscultating heart sounds of a client with heart failure, the nurse hears an extra heart sound immediately after the second heart sound (S2). The nurse should document this as
A. a first heart sound (S1).
B. a third heart sound (S3).
C. a fourth heart sound (S4).
D. a murmur.
A female client has just been diagnosed with condylomata acuminata (genital warts). What information is appropriate to tell this client
A. This condition puts her at a higher risk for cervical cancer; therefore, she should have a Papanicolaou (Pap) test annually.
B. The most common treatment is metronidazole (Flagyl), which should eradicate the problem within 7 to 10 days.
C. The potential for transmission to her sexual partner will be eliminated if condoms are used every time they have sexual intercourse.
D. The human papillomavirus (HPV), which causes condylomata aeuminata, can’t be transmitted during oral sex.
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