The nurse caring for a client with a pneumothorax and who has had a chest tube inserted notes continuous gentle bubbling in the suction control chamber. What action is most appropriate for the nurse? A. Increase the suction pressure so that the bubbling becomes vigorous. B. Do nothing since this is an expected finding. … Read More »
Besides the Joint Commission on Accreditation of Healthcare Organizations (JACHO), which governing agency regulates hospitals to allow continued safe services to be provided, funding to be received from the government, and penalties if guidelines are not followed? A. Board of Nursing Examiners (BNE) B. Nurse Practice Act (NPA) C. American Nurses Association (ANA)… Read More »
To institute appropriate isolation precautions, the nurse must first know the: A. Organism’s mode of transmission B. Organism’s Gram-staining characteristics C. Organism’s susceptibility to antibiotics D. Patient’s susceptibility to the organism Correct Answer: A. Organism’s mode of transmission Before instituting isolation precaution, the nurse must first determine… Read More »
Which intervention should the nurse in charge try first for a client that exhibits signs of sleep disturbance? A. Administer sleeping medication before bedtime. B. Ask the client each morning to describe the quantity of sleep during the previous night. C. Teach the client relaxation techniques, such as guided imagery, medication, and… Read More »
At the end of the shift, the nurse realizes that she forgot to document a dressing change that she performed for a patient. Which action should the nurse take? A. Complete an occurrence report before leaving. B. Do nothing; the next nurse will document it was done. C. Write the note of… Read More »
An additional Vitamin C is required during all of the following periods except: A. Infancy B. Young adulthood C. Childhood D. Pregnancy Correct Answer: B. Young adulthood Additional Vitamin C is needed in growth periods, such as infancy and childhood, and during pregnancy to supply demands for fetal… Read More »
The following statements appear on a nursing care plan for a client after a mastectomy: Incision site approximated; absence of drainage or prolonged erythema at the incision site; and the client remains afebrile. These statements are examples of: A. Nursing interventions B. Short-term goals C. Long-term goals D. Expected outcomes … Read More »
Which statement best describes the effects of immobility in children? A. Immobility prevents the progression of language and fine motor development. B. Immobility in children has similar physical effects to those found in adults. C. Children are more susceptible to the effects of immobility than are adults. D. Children are likely to have… Read More »
The nurse is assessing the functioning of a chest tube drainage system in a client with hemothorax. Which of the following findings should prompt the nurse to notify the physician? A. Fluctuation of water in the tube in the water seal chamber during inhalation and exhalation. B. Drainage system maintained below the client’s… Read More »
When a client is confused, left alone with the side rails down, and the bed in a high position, the client falls and breaks a hip. What law has been broken? A. Assault B. Battery C. Negligence D. Civil tort Correct Answer: C. Negligence Knowing what to… Read More »