Nurse Aldrin is preparing to perform endotracheal suctioning for a client. Which of the following are appropriate guidelines for the nurse to follow? Select all that apply. A. Apply suction while withdrawing the catheter. B. Perform suctioning on a routine basis, every 2 to 3 hours. C. Maintain medical asepsis during suctioning. … Read More »
The best way of determining whether a patient has learned to instill ear medication properly is for the nurse to: A. Ask the patient if he/she has used ear drops before. B. Have the patient repeat the nurse’s instructions using her own words. C. Demonstrate the procedure to the patient and encourage to ask… Read More »
In applying the principles of pain treatment, what is the first consideration? A. Treatment is based on client goals. B. A multidisciplinary approach is needed. C. The client must believe in perceptions of own pain. D. Drug side effects must be prevented and managed. Correct Answer: C. The client… Read More »
To verify the age of blood cells in blood, the nurse will check which of the following? A. Blood type B. Blood group C. Blood identification number D. Blood expiration date Correct Answer: D. Blood expiration date The safe storage of blood usually takes 35 days. Examining… Read More »
Nurse Monica is handling a female client who had undergone a mastectomy. Which is the best position in which she should place the client? A. Head of bed elevated at least 30° with the affected arm elevated on a pillow. B. Forward side-lying position. C. Supine position with the affected arm remains flat. … Read More »
The philosophy sometimes called the code of ethics of care suggests that ethical dilemmas can best be solved by attention to: A. Relationships B. Ethical principles C. Clients D. Code of ethics for nurses Correct Answer: A. Relationships. The ethic of care explores the notion of care as a… Read More »
A client is scheduled for a colonoscopy. The nurse will provide information to the client about which type of enema? A. Oil retention B. Return flow C. High large volume D. Low, small volume Correct Answer: D. Low, small volume Small volume enemas along with other preparations… Read More »
A walk-in client enters the clinic with a chief complaint of abdominal pain and diarrhea. The nurse takes the client’s vital sign hereafter. What phrase of the nursing process is being implemented here by the nurse? A. Assessment B. Diagnosis C. Planning D. Implementation Correct Answer: A.… Read More »
A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take each time he provides tracheostomy care? Select all that apply. A. Apply the oxygen source loosely if the SPO2 increases during the procedure. B. Use surgical asepsis to remove and clean the inner cannula.… Read More »
Which of the following types of medications can be administered via gastrostomy tube? A. Any oral medications. B. Capsules’ whole contents are dissolved in water. C. Enteric-coated tablets that are thoroughly dissolved in water. D. Most tablets designed for oral use, except for extended-duration compounds. Correct Answer:… Read More »