Which action by the nurse in charge is essential when cleaning the area around a Jackson-Pratt wound drain? A. Cleaning from the center outward in a circular motion. B. Removing the drain before cleaning the skin. C. Cleaning briskly around the site with alcohol. D. Wearing sterile gloves and a mask.… Read More »
The nurse is preparing to take vital signs in an alert client admitted to the hospital with dehydration secondary to vomiting and diarrhea. What is the best method used to assess the client’s temperature? A. Oral B. Axillary C. Radial D. Heat sensitive tape Correct Answer: B. Axillary Axilla… Read More »
A practitioner orders chest physiotherapy with percussion and vibration for a newly admitted patient. Which information obtained by the nurse during the health history should alert the nurse to question the practitioner’s order? A. Emphysema B. Osteoporosis C. Cystic fibrosis D. Chronic bronchitis Correct Answer: B. Osteoporosis… Read More »
The physician orders gr 10 of aspirin for a patient. The equivalent dose in milligrams is: A. 0.6 mg B. 10 mg C. 60 mg D. 600 mg Correct Answer: D. 600 mg gr 10 x 60 mg/gr 1 = 600 mg. There are 3 primary methods… Read More »
Family members are encouraging your client to “tough it out” rather than run the risk of becoming addicted to narcotics. The client is stoically abiding by the family’s wishes. Priority nursing interventions for this client should target which dimension of pain? A. Sensory B. Sociocultural C. Behavioral D. Cognitive … Read More »
Nurse Paulo has received a blood unit from the blood bank and has rechecked the blood bag properly with nurse Edward. Prior to the facilitation of the blood transfusion, nurse Paulo priority checks which of the following? A. Intake and output B. NPO standing order C. Vital signs D. Skin turgor… Read More »
A client receiving parenteral nutrition (PN) complains of shortness of breath and shoulder pain. A nurse notes that the client has an increased pulse rate. The nurse determines that the client is experiencing which complication of PN therapy? A. Air embolism. B. Hypervolemia. C. Hyperglycemia. D. Pneumothorax. … Read More »
The dominant values in American society on individual autonomy and self-determination: A. Rarely has an effect on other cultures. B. Do have an effect on health care. C. May hinder the ability to get into a hospice program. D. May be in direct conflict with diverse groups. … Read More »
A nurse obtained a client’s pulse and found the rate to be above normal. The nurse document these findings as: A. Tachypnea B. Hyperpyrexia C. Arrhythmia D. Tachycardia Correct Answer: D. Tachycardia Tachycardia means rapid heart rate. Tachycardia refers to a heart rate that’s too fast. How… Read More »
Nurse Sue teaches a patient about pursed lip breathing. The nurse identifies that the teaching is affected when the patient says its purpose is to: A. Precipitate coughing B. Help maintain open airways C. Decrease intrathoracic pressure D. Facilitate expectoration of mucus Correct Answer: B. Help maintain… Read More »