The nurse is providing instructions to a Chinese-American client about the frequency and dosages of the take-home medicines. When conducting the teaching, the client continuously turns away from the nurse. The nurse should do which of the following appropriate actions? A. Walk around the client so that the nurse can constantly face the client.… Read More »
A nurse discourages a patient from straining excessively when attempting to have a bowel movement. What physiological response primarily may be prevented by avoiding straining on defecation? A. Incontinence B. Dysrhythmias C. Fecal impaction D. Rectal hemorrhoids Correct Answer: B. Dysrhythmias Straining on defecation requires the person… Read More »
Which of the following is the nurse’s role in health promotion? A. Health risk appraisal B. Teach client to be effective health consumer C. Worksite wellness D. None of the above Correct Answer: B. Teach client to be effective health consumer Nurses play a huge role in… Read More »
Which of the following is the appropriate route of administration for insulin? A. Intramuscular B. Intradermal C. Subcutaneous D. Intravenous Correct Answer: C. Subcutaneous The subcutaneous tissue of the abdomen is preferred because the absorption of the insulin is more consistent from this location than subcutaneous tissues… Read More »
The ELISA test is used to: A. Screen blood donors for antibodies to human immunodeficiency virus (HIV). B. Test blood to be used for transfusion for HIV antibodies. C. Aid in diagnosing a patient with AIDS. D. All of the above. Correct Answer: D. All of the… Read More »
A first-day postoperative client on a PCA pump reports that the pain control is inadequate. What is the first action you should take? A. Deliver the bolus dose per standing order. B. Contact the physician to increase the dose. C. Try non-pharmacological comfort measures. D. Assess the pain for location, quality, and intensity.… Read More »
A client who is recovering from surgery has been ordered a change from a clear liquid diet to a full liquid diet. The nurse would offer which full liquid item to the client? A. Popsicle B. Carbonated beverages C. Gelatin D. Custard Correct Answer: D. Custard Full… Read More »
Which is the best position for a client with autonomic dysreflexia? A. Sim’s Position. B. Fowler’s Position. C. Semi-Fowler’s Position. D. High Fowler’s Position. Correct Answer: D. High Fowler’s Position. Autonomic dysreflexia is a condition in which there is a sudden onset of excessively high blood pressure. If it… Read More »
The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods his head. How should the nurse interpret this nonverbal behavior? A. An acceptance of the treatment. B. Client understanding of the preoperative procedures.… Read More »
Which of the following is the nurse’s legal responsibility when applying restraints? A. Document the patient’s behavior. B. Document the type of restraint used. C. Obtain a written order from the physician except in an emergency, when the patient must be protected from injury to himself or others. D. All of… Read More »