After determining a nursing diagnosis of acute pain, the nurse develops the following appropriate client-centered goal: A. Encourage the client to implement guided imagery when pain begins. B. Determine the effect of pain intensity on client function. C. Administer analgesic 30 minutes before physical therapy treatment. D. Pain intensity reported as… Read More »
Mrs. Kennedy had a CVA (cerebrovascular accident) and has a severe right-sided weakness. She has been taught to walk with a cane. The nurse is evaluating her use of the cane prior to discharge. Which of the following reflects the correct use of the cane? A. Holding the cane in her left hand, Mrs.… Read More »
A client with Congestive heart failure is about to take a dose of furosemide (Lasix). Which of the following potassium levels, if noted in the client’s record, should be reported before giving the due medication? A. 5.1 mEq/L. B. 4.9 mEq/L. C. 3.9 mEq/L. D. 3.3 mEq/L. … Read More »
Which of the following statement is correct? A. “Consent for medical treatment can be given by a minor with a sexually transmitted disease (STD)”. B. “A second-trimester abortion can be given without state involvement.” C. “Student nurses cannot be sued for malpractice while in a nursing clinical class.” D. “Nurses who… Read More »
After having an I.V. line in place for 72 hours, a patient complains of tenderness, burning, and swelling. Assessment of the I.V. site reveals that it is warm and erythematous. This usually indicates: A. Infection B. Infiltration C. Phlebitis D. Bleeding Correct Answer: C. Phlebitis Tenderness, warmth,… Read More »
Using Abraham Maslow’s hierarchy of human needs, a nurse assigns highest priority to which client need? A. Security B. Elimination C. Safety D. Belonging Correct Answer: B. Elimination According to Maslow, elimination is a first-level or physiological need and therefore takes priority over all other needs. In… Read More »
Which of the following aspects of nursing is essential to defining it as both a profession and a discipline? A. Established standards of care B. Professional organizations C. Practice supported by scientific research D. Activities determined by a scope of practice Correct Answer: C. Practice supported by… Read More »
Studies have shown that about 40% of patients fall out of bed despite the use of side rails; this has led to which of the following conclusions? A. Side rails are ineffective. B. Side rails should not be used. C. Side rails are a deterrent that prevent a patient from falling out… Read More »
When developing a nursing care plan for a client with a fractured right tibia, the nurse includes in the plan of care independent nursing interventions, including: A. Apply a cold pack to the tibia. B. Elevate the leg 5 inches above the heart. C. Perform a range of motion to right leg… Read More »
The nurse is instructing a woman on a low-fat, high-fiber diet. Which of the following food choices, if selected by the client, indicate an understanding of a low-fat, high-fiber diet? A. Tuna salad sandwich on whole-wheat bread. B. Vegetable soup made with vegetable stock, carrots, celery, and legumes served with toasted oat bread.… Read More »