Which of the following nursing interventions should you use to prevent footdrop and contractures in a patient recovering from a subdural hematoma? A. High-top sneakers B. Low-dose heparin therapy C. Physical therapy consultation D. Sequential compressive device Correct Answer: A. High-top sneakers High-top sneakers are used to… Read More »
A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of: A. Pneumonia B. Reaction to antiviral medication C. Tuberculosis D. Superinfection due to low CD4 count Correct Answer:… Read More »
A full-term male has hypospadias. Which statement describes hypospadias? A. The urethral opening is absent. B. The urethra opens on the dorsal side of the penis. C. The penis is shorter than usual. D. The urethral meatus opens on the underside of the penis. Correct Answer: D.… Read More »
Nurse Joan is assigned to come for a client who has just undergone eye surgery. Nurse Joan plans to teach the client activities that are permitted during the postoperative period. Which of the following is best recommended for the client? A. Watching circus B. Bending over C. Watching TV D. Lifting objects … Read More »
A patient with a spinal cord injury (SCI) complains about a severe throbbing headache that suddenly started a short time ago. Assessment of the patient reveals increased blood pressure (168/94) and decreased heart rate (48/minute), diaphoresis, and flushing of the face and neck. What action should you take first? A. Administer the ordered acetaminophen… Read More »
You have just admitted a patient with bacterial meningitis to the medical-surgical unit. The patient complains of a severe headache with photophobia and has a temperature of 102.60 F orally. Which collaborative intervention must be accomplished first? A. Administer codeine 15 mg orally for the patient’s headache. B. Infuse ceftriaxone (Rocephin) 2000 mg IV… Read More »
A 76-year-old male client had a thromboembolic right stroke; his left arm is swollen. Which of the following conditions may cause swelling after a stroke? A. Elbow contracture secondary to spasticity. B. Loss of muscle contraction decreasing venous return. C. Deep vein thrombosis (DVT) due to immobility of the ipsilateral side. … Read More »
Cataracts result in the opacity of the crystalline lens. Which of the following best explains the functions of the lens? A. The lens controls stimulation of the retina. B. The lens orchestrates eye movement. C. The lens focuses light rays on the retina. D. The lens magnifies small objects. … Read More »
A patient with a history of diabetes mellitus is in the second postoperative day following cholecystectomy. She has complained of nausea and isn’t able to eat solid foods. The nurse enters the room to find the patient confused and shaky. Which of the following is the most likely explanation for the patient’s symptoms? A. Anesthesia reaction… Read More »
Nurse Perry is evaluating the renal function of a male client. After documenting urine volume and characteristics, Nurse Perry assesses which signs as the best indicator of renal function. A. Blood pressure B. Consciousness C. Distension of the bladder D. Pulse rate Correct Answer: A. Blood pressure Perfusion can… Read More »