Nurse Daniel is caring for a client receiving a transfusion of packed red blood cells (PRBCs). The client started to vomit and to be nauseous. Client’s blood pressure is 95/40 mm Hg from a baseline of 110/70 mm Hg. The client’s temperature is 100.5°F orally from a baseline of 99.5°F orally. The nurse understands that… Read More »
Nurse Maria is administering a cleansing enema to a client with severe constipation. She will place the client in which position? A. Low Fowler’s position. B. High Fowler’s position. C. Left Sim’s position. D. Right Sim’s position. Correct Answer: C. Left Sim’s position. During a cleansing enema,… Read More »
The client’s right to refuse treatment is an example of: A. Statutory law B. Common law C. Civil laws D. Nurse practice acts Correct Answer: B. Common law Common law results from judicial decisions made in courts when individual legal cases are decided. Examples of common law… Read More »
Which of the following is most likely to validate that a client is experiencing intestinal bleeding? A. Large quantities of fat mixed with pale yellow liquid stool B. Brown, formed stool C. Semi soft tar colored stools D. Narrow, pencil shaped stool Correct Answer: C. Semi soft tar colored… Read More »
The ability of the body to defend itself against scientific invading agent such as bacteria, toxin, viruses, and foreign body: A. Hormones B. Secretion C. Immunity D. Glands Correct Answer: C. Immunity Immunity is the ability of an organism to resist a particular infection or toxin by… Read More »
20 cc is equal to how many ml? A. 2 B. 20 C. 2000 D. 20000 Correct Answer: B. 20 One cubic centimeter is equal to one milliliter. When clinicians are prepared and know the key conversion factors, they will be less anxious about the calculation involved.… Read More »
A clinical nurse specialist is a nurse who has: A. Been certified by the National League for Nursing. B. Received credentials from the American Nurses’ Association. C. Graduated from an associate degree program and is a registered professional nurse. D. Completed a master’s degree in the prescribed clinical area and is… Read More »
A client appears upset and tearful, but denies pain and refuses pain medication, because “my sibling is a drug addict and has ruined our lives.” What is the priority intervention for this client? A. Encourage expression of fears on past experiences. B. Provide accurate information about the use of pain medication. C. Explain that… Read More »
Packed red blood cells have been prescribed for a client with low hemoglobin and hematocrit levels. The nurse takes the client’s temperature before hanging the blood transfusion and records 100.8 °F. Which action should the nurse take? A. Give an antipyretic and begin the transfusion. B. Proceed with the transfusion. C. Administer… Read More »
What type of client would benefit the most from an elevated head of the bed position? A. Patient who had a hemorrhoidectomy. B. Patient who had a laryngectomy. C. Patient who had a liver biopsy. D. Patient who had a lumbar puncture. Correct Answer: B. Patient who… Read More »