A nurse is preparing to deliver a food tray to a Jewish client. The nurse checks the food on the tray and notes that the client has received a hamburger and whole milk as a beverage. Which is the appropriate action for the nurse? A. Ask the dietary department to replace the hamburger with… Read More »
Which of the following is the abbreviation of drops? A. Gtt. B. Gtts. C. Dp. D. Dr. Correct Answer: B. Gtts. Gtt (Choice A) is an abbreviation for drop. Dp and Dr are not recognized abbreviations for measurement. Standardization and uniform use of codes, symbols, and abbreviations… Read More »
A nurse is preparing to administer a cleansing enema to an adult client in preparation for a diagnostic procedure. Which of the following are appropriate steps for the nurse to take? Select all that apply. A. Warm the enema solution prior to installation. B. Position the client on the left side with the right… Read More »
Which of the following is the most important purpose of handwashing? A. To promote hand circulation. B. To prevent the transfer of microorganisms. C. To avoid touching the client with a dirty hand. D. To provide comfort. Correct Answer: B. To prevent the transfer of microorganism Hand washing is… Read More »
Thrombophlebitis typically develops in patients with which of the following conditions? A. Increases partial thromboplastin time B. Acute pulsus paradoxus C. An impaired or traumatized blood vessel wall D. Chronic Obstructive Pulmonary Disease (COPD) Correct Answer: C. An impaired or traumatized blood vessel wall The factors, known… Read More »
For a client who is taking aspirin, which laboratory value should be reported to the physician? A. Potassium 3.6 mEq/L B. Hematocrit 41% C. PT 14 seconds D. BUN 20 mg/dL Correct Answer: C. PT 14 seconds When a client takes aspirin, monitor for increases in PT… Read More »
A client with heart failure has been told to maintain a low sodium diet. A nurse who is teaching this client about foods that are allowed includes which food item in a list provided to the client? A. Pretzels B. Whole wheat bread C. Tomato juice canned D. Dried apricot … Read More »
A nurse is preparing a plan of care for a client who is a Jehovah’s Witness. The client has been told that surgery is necessary. The nurse considers the client’s religious preferences in developing the plan of care and documents that: A. Giving any medication is not allowed. B. Surgery is strictly prohibited.… Read More »
A clinic nurse is performing an admission assessment for an African-American client scheduled for an emergency appendectomy. Which of the following questions would be inappropriate for the nurse to ask for the initial evaluation? A. Do you have any allergies to medicines? B. When did the pain start? C. Do you have… Read More »
While a nurse is administering a cleansing enema, the client reports abdominal cramping. Which of the following is the appropriate intervention? A. Have a client hold his breath briefly. B. Discontinue the fluid installation. C. Remind the client that cramping is common at this time. D. Lower the enema fluid container.… Read More »