The nurse should recognize that all of the following physical changes of the head and face are associated with the aging client except: A. Pronounced wrinkles on the face. B. Decreased size of the nose and ears. C. Increased growth of facial hair. D. Neck wrinkles. Correct Answer:… Read More »
In planning pain reduction interventions, which pain theory provides information most useful to nurses? A. Specificity theory B. Pattern theory C. Gate-control theory D. Central-control theory Correct Answer: D. Central-control theory No one theory explains all the factors underlying the pain experience, but the central-control theory discusses brain opiates… Read More »
A client is receiving nutrition via parenteral nutrition (PN). A nurse assesses the client for complications of the therapy and assesses the client for which of the following signs of hyperglycemia? A. High-grade fever, chills, and decreased urination. B. Fatigue, increased sweating, and heat intolerance. C. Coarse dry hair, weakness, and fatigue.… Read More »
In a situation in which there is insufficient staff to implement competent care, a nurse should: A. Organize a strike. B. Inform the clients of the situation. C. Refuse the assignment. D. Accept the assignment but make a protest in writing to the administration. Correct Answer: A.… Read More »
To evaluate a patient for hypoxia, the physician is most likely to order which laboratory test? A. Red blood cell count B. Sputum culture C. Total hemoglobin D. Arterial blood gas (ABG) analysis Correct Answer: D. Arterial blood gas (ABG) analysis All of these tests help evaluate a patient… Read More »
The nurse is recording assessment data. She writes, “The patient seems worried about his surgery. Other than that, he had a good night.” Which errors did the nurse make? Select all that apply. A. Used a vague generality. B. Did not use the patient’s exact words. C. Used a “waffle” word (e.g., appears).… Read More »
Nurse Trixie is preparing to perform tracheostomy care. Prior to the beginning of the procedure, the nurse performs which action? A. Tells the client to raise two fingers to indicate pain or distress. B. Changes twill tape holding the tracheostomy and place. C. Cleans the incision site. D. Check the tightness… Read More »
After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping, and muscle weakness. These symptoms probably indicate that the patient is experiencing: A. Hypokalemia B. Hyperkalemia C. Anorexia D. Dysphagia Correct Answer: A. Hypokalemia Fatigue, muscle cramping,… Read More »
All of the following characteristics would indicate to the nurse that an elder client might experience undesirable effects of medicines except: A. Increased oxidative enzyme levels. B. Alcohol taken with medication. C. Medications containing magnesium. D. Decreased serum albumin. Correct Answer: A. Increased oxidative enzyme levels. Oxidative enzyme… Read More »
Ryan underwent an open reduction and internal fixation of the left hip. One day after the operation, the client is complaining of pain. Which data would cause the nurse to refrain from administering the pain medication and to notify the health care provider instead? A. Left hip dressing dry and intact. B. Blood… Read More »