Kaplan Fundamental Exam A 1. To promote evening rest and sleep for clients who are immobilized and in bed, it is most important for the nurse to provide which care? a. Privacy b. Back rubs c. Daily baths d. Daytime activities i. Rationale: daytime activity is particularity important for the immobilized and bedridden client; it causes these clients to nap less during the day, and provides relief from tension; enables the client to relax and sleep at night 2. The nurse identifies which lab finding reflects the signs and symptoms of infection? a. Serum creatinine level of 2.4 mg/dl b. AST (SGOT) 15 u/l c. White blood count of 16,000/mm^3 d. White blood count of 4,000/mm^3 i. Rationale: normal range for WBC is 5,000-10,00o/mm^3; elevation indicates infection 3. A client is admitted to the hospital with a temperature of 101 and a WBC count of 3,000/mm^3. The nurse should institute which precaution? a. Contact precautions b. Airborne precautions c. Droplet precautions d. Neutropenic precautions i. Rationale: client is immunosuppressed; place in a private room, use good hand washing before touching client and any belongings, limit number of nurses caring for client; no fresh flowers or potted plants in the clients