5.  The nurse is admitting a patient to the unit with a secondary immunodeficiency from chemotherapy. While planning care, the nurse should include provisions for which of the following?

48.  Which factors place the patient at increased risk for severe COVID-19? (select all that apply)

34.  A nurse is assisting with developing the plan of care for a client who requires airborne precautions. Which of the following actions should the nurse include?

43.  The RN is working as the Case Manager in a LTC facility and is developing protocols for pressure injuries.  Based on his knowledge of risk factors for the development or worsening of a pressure injury, which of the patients has the greatest risk for delayed wound healing?        

17.  A nurse is reinforcing teaching with a 4-year-old child who is on airborne precautions about activities he can do while in the hospital. Which of the following activities should the nurse include in the teaching?

32.  The patient visits the community health clinic and requests information regarding HIV testing. The nurse explains the testing procedure and includes that a patient with HIV may not have symptoms for how long?

16.  A nurse is caring for a 6-month-old child. The child’s provider has ordered a diphtheria, tetanus, and pertussis (DTaP) vaccine to be administered. Which of the following should cause the nurse to question the administration of this vaccine?

18. The home care nurse is collecting data from a client who has been diagnosed with an allergy to latex. In determining the client’s risk factors associated with the allergy, the nurse questions the client about an allergy to which food items? Select all that apply.

33.  The nurse is planning an information session on immunity and immunizations with a group of seniors at the county senior center. The nurse recalls the following are effects on the normal aging system:  Select all that apply.

21. Review the scenario below: Which of the following actions would the nurse anticipate: Orders Labs Nurse Note IV 0.9% NACL @ 100 mL/ HR Vancomycin 500 mg/250 mL every 6 hours IVPB Rocephin 1 gram IV piggy back every 12 hours ibuprofen 400 mg by mouth every 6 hours as needed for pain Vital Signs Q 4 hours Diet as tolerated Wound care to LLE twice daily-cleanse with wound cleanse, pat dry, cover with sterile 4x4s and secure with Tegaderm.  Foley to drainage bag Strict I&O Daily Weight Ambulate with assist Up in chair TID for meals   CBC:  WBC 15,700 RBC 3.7 Hgb 11.5 HCT 37.9 PLT 268,000 neutrophils 47% Lymphs 46% Monocytes  6% EOS 1% Basos 0 % CMP: BUN 24 mg/dL Creatinine 1.5 mg/dL Na+ 132 mmol/L K+ 3.3  mmol/L Chloride 96 mmol/L Calcium 8.9 mg/dL   0610: Client resting in bed, responds to verbal stimulus, alert and oriented to time, place and situation. IV site to LEFT forearm patent, infusing NS @ 100mL/hr via pump, without redness or edema at site. Denies complaints of tenderness.  Dressing to Left lower leg dry/intact. Skin warm and dry. Extremities with 3+ cap refill, dorsalis pedis pulses palp and equal bilat.  Abdomen soft, non-tender. Bowel sounds hyperactive x 4 quads. Last BM reported by patient this morning was watery, large amount with a foul odor. Complains of abdominal cramping and nausea. Oral cavity without redness/lesions.  Foley intact, patent and draining clear, pink tinged urine. . Bladder non distended.   requests antidiarrheal at this time. Will continue to monitor.