A female patient is diagnosed with deep-vein thrombosis. Which nursing diagnosis should receive highest priority at this time? A. Impaired gas exchanges related to increased blood flow. B. Fluid volume excess related to peripheral vascular disease. C. Risk for injury related to edema. D. Altered peripheral tissue perfusion related to venous… Read More »
Nurse Berta is facilitating a monthly mothers’ class at a small village. As a knowledgeable nurse, she must know that a mother who breastfeeds her child passes on which antibody through breast milk? A. IgA B. IgE C. IgG D. IgM Correct Answer: A. IgA Antibodies, which… Read More »
Which of the following statements is incorrect about a patient with dysphagia? A. The patient will find pureed or soft foods, such as custards, easier to swallow than water. B. Fowler’s or semi Fowler’s position reduces the risk of aspiration during swallowing. C. The patient should always feed himself. D. The… Read More »
As goals, outcomes, and interventions are developed, the nurse must: A. Be in charge of all care and planning for the client. B. Be aware of and committed to accepted standards of practice from nursing and other disciples. C. Not change the plan of care for the client. D. Be in… Read More »
Which of the following should be included in a plan of care for a client receiving total parenteral nutrition (TPN)? A. Withhold medications while the TPN is infusing. B. Change TPN solution every 24 hours. C. Flush the TPN line with water prior to initiating nutritional support. D. Keep the client… Read More »
Continuous type of feedings is administered over a __ hour period? A. 4. B. 12. C. 24. D. 36. Correct Answer: C. 24. Continuous feeding is administered for 24 hours. An infusion pump regulates the flow. Continuous drip feeding is delivered by either gravity drip or infusion… Read More »
Ethical principles for professional nursing practice in a clinical setting are guided by the principles of conduct that are written as the: A. American Nurses Association’s (ANA’s) Code of Ethics B. Nurse Practice Act (NPA) written by state legislation C. Standards of care from experts in the practice field D. Good… Read More »
A nurse is caring for a client who will perform fecal occult blood testing at home. Which of the following information should the nurse include when explaining the procedure to the client? A. Eating more protein is optimal prior to testing. B. One stool specimen is sufficient for testing. C. A red… Read More »
It is described as a collection of people who share some attributes of their lives. A. Family B. Illness C. Community D. Nursing Correct Answer: C. Community A community is defined by the shared attributes of the people in it, and/or by the strength of the connections… Read More »
The nurse is ordered to administer ampicillin capsule TID p.o. The nurse should give the medication by which frequency? A. Three times a day orally B. Three times a day after meals C. Two times a day by mouth D. Two times a day before meals Correct… Read More »