A patient with no known allergies is to receive penicillin every 6 hours. When administering the medication, the nurse observes a fine rash on the patient’s skin. The most appropriate nursing action would be to: A. Withhold the moderation and notify the physician. B. Administer the medication and notify the physician. C.… Read More »
A 64-year-old client scheduled for surgery with a general anesthetic refuses to remove a set of dentures prior to leaving the unit for the operating room. What would be the most appropriate intervention by the nurse? A. Explain to the client that the dentures must come out as they may get lost or broken in the… Read More »
Albert, who suffered severe burns 6 months ago, is expressing concern about the possible loss of job-performance abilities and physical disfigurement. Which intervention is the most appropriate for him? A. Referring the client for counseling and occupational therapy. B. Staying with the client as much as possible and building trust. C. Providing cutaneous stimulation… Read More »
A nurse is making initial rounds at the beginning of the shift and notices that the parenteral nutrition (PN) bag of an assigned client is empty. Which of the following solutions readily available on the nursing unit should the nurse hang until another PN solution is mixed and delivered to the nursing unit? A.… Read More »
Cultural awareness is an in-depth self-examination of one’s: A. Background, recognizing biases and prejudices. B. Social, cultural, and biophysical factors. C. Engagement in cross-cultural interactions. D. Motivation and commitment to caring. Correct Answer: A. Background, recognizing biases and prejudices. Cultural awareness is an in-depth examination of one’s… Read More »
An employer establishes a physical exercise area in the workplace and encourages all employees to use it. This is an example of which level of health promotion? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Passive prevention Correct Answer: A. Primary prevention Primary prevention precedes… Read More »
The nurse is assessing a patient admitted to the hospital with rectal bleeding. The patient had a hip replacement 2 weeks ago. Which position should the nurse avoid when examining this patient’s rectal area? A. Sims’ B. Supine C. Dorsal recumbent D. Semi-Fowler’s Correct Answer: A. Sims’… Read More »
Nurse Peter makes the assessment that which client has the greatest risk for a problem with the transport of oxygen from the lungs to the tissues? A client who has: A. Anemia B. An infection C. A fractured rib D. A tumor of the medulla Correct Answer:… Read More »
All of the following nursing interventions are correct when using the Z-track method of drug injection except: A. Prepare the injection site with alcohol. B. Use a needle that’s at least 1” long. C. Aspirate for blood before injection. D. Rub the site vigorously after the injection to promote absorption. … Read More »
The nurse is assessing a client who states her last menstrual period was March 17, and she has missed one period. She reports episodes of nausea and vomiting. Pregnancy is confirmed by a urine test. What will the nurse calculate as the estimated date of delivery (EDD)? A. November 8 B. May 15… Read More »