A newly admitted client is suspected to have avian influenza (“bird flu”) due to increasing dyspnea and dehydration. Which of these prescribed actions will the nurse implement first? A. Give first dose of oseltamivir (Tamiflu) B. Instill 5% dextrose in water at 100 mL/hr C. Collect blood and sputum specimens for testing … Read More »
A patient with chronic obstructive pulmonary disease (COPD). Which intervention for airway management should you delegate to a nursing assistant? A. Assisting the patient to sit up on the side of the bed. B. Instructing the patient to cough effectively. C. Teaching the patient to use incentive spirometry. D. Auscultation of… Read More »
Nurse Paul is developing a care plan for a client after bariatric surgery for morbid obesity. The nurse should include which of the following on the care plan as the priority complication to prevent: A. Pain B. Wound infection C. Depression D. Thrombophlebitis Correct Answer: B. Wound infection Wound… Read More »
A mother is so worried that her son took an unknown amount of children’s chewable vitamins at an unknown time. While in the ED, the child is alert and asymptomatic. What information should be directly stated to the physician? A. The child was nauseated and vomited before arriving in the ED. B. The… Read More »
The charge nurse is delegating tasks to her subordinates in the medical unit. Which infection control activity should she assign to an experienced nursing assistant? A. Asking clients about the use of immunosuppressant medications. B. Demonstrating correct hand washing to client visitors. C. Disinfecting blood pressure cuffs after clients are discharged. … Read More »
A patient with sleep apnea has a nursing diagnosis of Sleep Deprivation related to disrupted sleep cycle. Which action should you delegate to the nursing assistant? A. Discuss weight-loss strategies such as diet and exercise with the patient. B. Teach the patient how to set up the BiPAP machine before sleeping. C.… Read More »
A client presents to the emergency room with dyspnea, chest pain, and syncope. The nurse assesses the client and notes that the following assessment cues: pale, diaphoretic, blood pressure of 90/60, respirations of 33. The client is also anxious and fearing death. Which action should the nurse take first? A. Administer pain medications B.… Read More »
The nurse is caring for a client with a leg ulcer that is infected with vancomycin-resistant S. aureus (VRSA). Which of the following nursing actions can a nurse assign to an LPN/LVN? A. Assess risk for further skin breakdown. B. Collect wound cultures during dressing changes. C. Create methods to improve the… Read More »
After a change of shift, you are assigned to care for the following patients. Which patient should you assess first? A. A 60-year old patient on a ventilator for whom a sterile sputum specimen must be sent to the lab. B. A 55-year old with COPD and a pulse oximetry reading from the previous… Read More »
Nurse Pietro receives an 11-month old child with a fracture of the left femur on the pediatric unit. Which action is important for the nurse to take first? A. Call for a social worker to meet with the family. B. Check the child’s blood pressure, pulse, respiration, and temperature. C. Administer pain medications… Read More »