what client is a susceptible host most at risk for infection

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. What client is a susceptible host most at risk for infection?

A. A client with leukemia
B. A hospitalized 35-year-old-client
C. A child who is immunized
D. A 60-year-old client

Correct answer: A

Rationale:

2. What are signs of hearing loss? (Select all that apply)

A. Answering questions correctly
B. Presence of cerumen
C. Tinnitus
D. Frequent asking of others to repeat statements

Correct answer: C

Rationale: Signs of hearing loss include tinnitus, frequent asking to repeat statements, and shouting in conversations.

3. A client arrives speaking only Spanish. What is the priority nursing intervention?

A. Give the client a tour of the unit
B. Verify the reason for admission
C. Request a medical interpreter
D. Call the chaplain for support

Correct answer: C

Rationale:

4. What nursing interventions increase the risk the pressure injuries?

A. Padding hard surfaces
B. Have client sit in wheelchair as much as possible
C. Place pillows between bony surfaces
D. Keep head of bed (HOB) at or less than 3

Correct answer: B

Rationale:

5. What is correct about a nursing diagnosis?

A. It is a human response to disease, injury, or other stressors.
B. It remains constant as long as the disease is present.
C. It is a way to identify pathology.
D. It is a disease, illness, or injury.

Correct answer: A

Rationale: A nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential health problems or life processes. Choice A is correct because it identifies nursing diagnosis as related to human responses to health conditions or life processes. Choice B is incorrect because nursing diagnoses can change as the patient's condition changes. Choice C is incorrect because a nursing diagnosis is about responses, not just identifying pathology. Choice D is incorrect because a nursing diagnosis is not the same as a disease, illness, or injury; it is a statement about the patient's response to these conditions.