Clients should be taught that repeatedly ignoring the sensation of needing to defecate could result in which of the following? A. Constipation B. Diarrhea C. Incontinence D. Hemorrhoids Correct Answer: A. Constipation Habitually ignoring the urge to defecate can lead to constipation through loss of the natural… Read More »
A client who is unconscious needs frequent mouth care. When performing mouth care, the best position of a client is: A. Fowler’s position B. Side-lying C. Supine D. Trendelenburg Correct Answer: B. Side-lying An unconscious client is best placed on his side when doing oral care to prevent aspiration.… Read More »
Nurse CJ is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse’s priority? A. Increase the oxygen flow. B. Assist the client with Fowler’s position. C. Promote removal of… Read More »
All of the following are common signs and symptoms of phlebitis except: A. Pain or discomfort at the IV insertion site B. Edema and warmth at the IV insertion site C. A red streak exiting the IV insertion site D. Frank bleeding at the insertion site Correct Answer:… Read More »
In caring for a young child with pain, which assessment tool is the most useful? A. Simple descriptive pain intensity scale B. 0-10 numeric pain scale C. Faces pain-rating scale D. McGill-Melzack pain questionnaire Correct Answer: C. Faces pain-rating scale The Faces pain rating scale (depicting smiling, neutral, frowning,… Read More »
Nurse Rick is administering 2 unit-packed RBCs on a client with low hemoglobin. The nurse will prepare which of the following in order to transfuse the blood? A. Microfusion set B. Polyvol Pro Burette Set C. Photofusion set D. Tubing with an in-line filter Correct Answer: D.… Read More »
Nurse Aaron is inserting a nasogastric tube to a stroke client. He understands that the best position for the insertion is? A. Low Fowler’s. B. Sims position. C. Trendelenburg. D. High Fowler’s. Correct Answer: D. High Fowler’s. The best position during a nasogastric tube insertion is sitting or High… Read More »
Successful ethical discussion depends on people who have a clear sense of personal values. When many people share the same values it may be possible to identify a philosophy of utilitarianism, with proposes that: A. The value of people is determined solely by leaders in the Unitarian church. B. The decision to perform… Read More »
Which statement provides evidence that an older adult who is prone to constipation is in need of further teaching? A. “I need to drink one and a half to 2 quarts of liquid each day.” B. “I need to take a laxative such as milk of magnesia or if I don’t have a… Read More »
A client is hospitalized for the first time, which of the following actions ensure the safety of the client? A. Keep unnecessary furniture out of the way. B. Keep the lights on at all times. C. Keep side rails up at all times. D. Keep all equipment out of view. … Read More »