Which of the following nursing orders should be included in the plan of care for a client with hepatitis C?

• A.The nurse should use universal precautions when obtaining blood samples.
• B.Total bed rest should be maintained until the client is asymptomatic.
• C.The client should be instructed to maintain a low semi-Fowler position when eating meals.
• D.The nurse should administer an alcohol backrub at bedtime.

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The priority nursing goal when working with an autistic child is:

• A.To establish trust with the child
• B.To maintain communication with the family
• C.To promote involvement in school activities
• D.To maintain nutritional requirements

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A client has received digoxin 0.25 mg po daily for 2 weeks. Which of the following digoxin levels indicates toxicity?

• A.0.5 ng/mL
• B.1.0 ng/mL
• C.2.0 ng/mL
• D.3.0 ng/mL

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A 19-year-old male client arrived via ambulance to the emergency room following a motorcycle accident. He is comatose. His face has evidence of dried blood. On assessment, the nurse notes an obvious injury to his left eye. The preferred positioning for a client with an obvious eye injury is:

• A.Reclining to control bleeding
• B.Any position in which the client is comfortable
• C.Side-lying, either left or right
• D.Sitting with head support

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Succinylcholine chloride (Anectine) is ordered prior to electroconvulsive therapy treatment for depressed clients. The nurse explains that the purpose of the drug is to:

• A.Relax muscles
• B.Relieve anxiety
• C.Reduce secretions
• D.Act as an anesthetic

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