A nurse is conducting a follow-up home visit to a client who has been discharged with parenteral nutrition(PN). Which of the following should the nurse most closely monitor in this kind of therapy? A. Blood pressure and temperature. B. Blood pressure and pulse rate. C. Height and weight. D. Temperature and weight. … Read More »
A confused client who fell out of bed because side rails were not used is an example of which type of liability? A. Felony B. Assault C. Battery D. Negligence Correct Answer: D. Negligence Negligence is defined as doing something or failing to do something that a… Read More »
The natural sedative in meat and milk products (especially warm milk) that can help induce sleep is: A. Flurazepam B. Temazepam C. Methotrimeprazine D. Tryptophan Correct Answer: D. Tryptophan Tryptophan is a natural sedative; flurazepam (Dalmane), temazepam (Restoril), and methotrimeprazine (Levoprome) are hypnotic sedatives. Protein foods such… Read More »
The nurse in charge identifies a patient’s responses to actual or potential health problems during which step of the nursing process? A. Assessment B. Nursing diagnosis C. Planning D. Evaluation Correct Answer: B. Nursing diagnosis The nurse identifies human responses to actual or potential health problems during… Read More »
A client with a stage 2 pressure ulcer has methicillin-resistant Staphylococcus aureus (MRSA) cultured from the wound. Contact precautions are initiated. Which rule must be observed to follow contact precautions? A. A clean gown and gloves must be worn when in contact with the client. B. Everyone who enters the room must wear… Read More »
Which of the following patients is at greatest risk for developing pressure ulcers? A. An alert, chronic arthritic patient treated with steroids and aspirin. B. An 88-year old incontinent patient with gastric cancer who is confined to his bed at home. C. An apathetic 63-year old COPD patient receiving nasal oxygen via… Read More »
A client-centered goal is a specific and measurable behavior or response that reflects a client’s: A. Desire for specific health care interventions. B. Highest possible level of wellness and independence in function. C. Physician’s goal for the specific client. D. Response when compared to another client with a similar problem. … Read More »
Which of the following interventions will help lessen the effect of GERD (acid reflux)? A. Elevate the head of the bed on 4-6 inch blocks. B. Lie down after eating. C. Increase fluid intake just before bedtime. D. Wear a girdle. Correct Answer: A. Elevate the head… Read More »
The nurse is preparing to give bolus enteral feedings via a nasogastric tube to a comatose client. Which of the following actions is an inappropriate practice by the nurse? A. If bowel sounds are absent, hold the feeding and notify the physician. B. Assess tube placement by aspirating gastric content and check the… Read More »
Transcultural nursing implies: A. Using a comparative study of cultures to understand similarities and differences across human groups to provide specific individualized care that is culturally appropriate. B. Working in another culture to practice nursing within their limitations. C. Combining all cultural beliefs into a practice that is a non-threatening approach to… Read More »