Mrs. Bagapayo who had abdominal surgery 3 days earlier complains of sharp, throbbing abdominal pain that ranks 8 on a scale of 1 (no pain) to 10 (worst pain). Which intervention should the nurse implement first? A. Assessing the client to rule out possible complications secondary to surgery. B. Checking the client’s chart to… Read More »
A nurse is caring for a group of clients in a medical-surgical nursing unit. The nurse recognizes that which of the following clients would be the least likely candidate for parenteral nutrition? A. A 55-year-old with persistent nausea and vomiting from chemotherapy. B. A 44-year old client with ulcerative colitis. C. A… Read More »
Cultural competence is the process of: A. Learning about vast cultures. B. Acquiring specific knowledge, skills, and attitudes. C. Influencing treatment and care of clients. D. Motivation and commitment to caring. Correct Answer: B. Acquiring specific knowledge, skills, and attitudes. Cultural competence is the process of acquiring… Read More »
What does the nurse in charge do when making a surgical bed? A. Leaves the bed in the high position when finished. B. Place the pillow at the head of the bed. C. Rolls the patient to the far side of the bed. D. Tucks the top sheet and blanket under… Read More »
How should the nurse modify the examination for a 7-year-old child? A. Ask the parents to leave the room before the examination. B. Demonstrate equipment before using it. C. Allow the child to help with the examination. D. Perform invasive procedures (e.g., otoscopic) last. Correct Answer: B.… Read More »
Which term does the nurse document to best describe a client experiencing shortness of breath while lying down who must assume an upright or sitting position to breathe more comfortably and effectively? A. Dyspnea B. Hyperpnea C. Orthopnea D. Apnea Correct Answer: C. Orthopnea Respiratory difficulty related… Read More »
The correct method for determining the vastus lateralis site for I.M. injection is to: A. Locate the upper aspect of the upper outer quadrant of the buttock about 5 to 8 cm below the iliac crest. B. Palpate the lower edge of the acromion process and the midpoint lateral aspect of the arm.… Read More »
The family of a 6-year-old with a fractured femur asks the nurse if the child’s height will be affected by the injury. Which statement is true concerning long bone fractures in children? A. Growth problems will occur if the fracture involves the periosteum. B. Epiphyseal fractures often interrupt a child’s normal growth pattern. C.… Read More »
Which term refers to the pain that has a slower onset, is diffuse, radiates, and is marked by somatic pain from organs in any body activity? A. Acute pain B. Chronic pain C. Superficial pain D. Deep pain Correct Answer: D. Deep pain Deep pain has a… Read More »
A client is receiving parenteral nutrition (PN) and is suddenly having a fever. A nurse notifies the physician and the physician initially prescribes that the solution and tubing be changed. The nurse should do which of the following with the discontinued materials? A. Send them to the laboratory for culture. B. Save them… Read More »