Wilfredo with a recent history of rectal bleeding is being prepared for a colonoscopy. How should the nurse Patricia position the client for this test initially? A. Lying on the right side with legs straight. B. Lying on the left side with knees bent. C. Prone with the torso elevated. D. Bent… Read More »
A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal? A. 11-year-old male: 90 BPM, 22 RPM, 100/70 mmHg B. 13-year-old female: 105 BPM, 22 RPM, 105/50 mmHg C. 5-year-old male: 102 BPM, 24 RPM, 90/65 mmHg D. 6-year-old female: 100 BPM, 26 RPM, 90/70… Read More »
Lydia undergoes a laryngectomy to treat laryngeal cancer. When teaching the client how to care for the neck stoma, the nurse should include which instruction? A. “Keep the stoma uncovered.” B. “Keep the stoma dry.” C. “Have a family member perform stoma care initially until you get used to the procedure.” … Read More »
A male client with inflammatory bowel disease undergoes an ileostomy. On the first day after surgery, Nurse Oliver notes that the client’s stoma appears dusky. How should the nurse interpret this finding? A. Blood supply to the stoma has been interrupted. B. This is a normal finding 1 day after surgery. C.… Read More »
A male client has undergone spinal surgery, the nurse should: A. Observe the client’s bowel movement and voiding patterns B. Log-roll the client to prone position C. Assess the client’s feet for sensation and circulation D. Encourage client to drink plenty of fluids Correct Answer: C. Assess… Read More »
Which action by the nurse indicates understanding of herpes zoster? A. The nurse covers the lesions with a sterile dressing. B. The nurse wears gloves when providing care. C. The nurse administers a prescribed antibiotic. D. The nurse administers oxygen. Correct Answer: B. The nurse wears gloves… Read More »
Which of the following heart muscle diseases is unrelated to other cardiovascular diseases? A. Cardiomyopathy B. Coronary artery disease C. Myocardial infarction D. Pericardial Effusion Correct Answer: A. Cardiomyopathy Cardiomyopathy isn’t usually related to underlying heart disease such as atherosclerosis. The etiology in most cases is unknown.… Read More »
A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by: A. Passing water through a dialyzing membrane B. Eliminating plasma proteins from the blood C. Lowering the pH by removing nonvolatile… Read More »
The client has an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that the nurse should contact the lab for them to collect the blood: A. 15 minutes after the infusion B. 30 minutes before the infusion C. 1 hour after the infusion … Read More »
A patient is admitted to the hospital with a calcium level of 6.0 mg/dL. Which of the following symptoms would you not expect to see in this patient? A. Numbness in hands and feet B. Muscle cramping C. Hypoactive bowel sounds D. Positive Chvostek’s sign Correct Answer:… Read More »