The nurse is teaching a patient to prepare a syringe with 40 units of U-100 NPH insulin for self-injection. The patient’s first priority concerning self-injection in this situation is to: A. Assess the injection site. B. Select the appropriate injection site. C. Check the syringe to verify that the nurse has removed the prescribed… Read More »
A female client who received general anesthesia returns from surgery. Postoperatively, which nursing diagnosis takes highest priority for this client? A. Acute pain related to surgery. B. Deficient fluid volume related to blood and fluid loss from surgery. C. Impaired physical mobility related to surgery. D. Risk for aspiration related to anesthesia. … Read More »
Paul Jake suffered a stroke and has difficulty swallowing. Which healthcare team member should be consulted to assess the patient’s risk for aspiration? A. Respiratory therapist B. Occupational therapist C. Dentist D. Speech therapist Correct Answer: D. Speech therapist Speech and language therapists provide assistance to clients… Read More »
The most common injury among elderly persons is: A. Atherosclerotic changes in the blood vessels B. Increased incidence of gallbladder disease C. Urinary Tract Infection D. Hip fracture Correct Answer: D. Hip fracture Hip fracture, the most common injury among elderly persons, usually results from osteoporosis. Hip fractures from… Read More »
A client’s wound is not healing and appears to be worsening with the current treatment. The nurse first considers: A. Notifying the physician. B. Calling the wound care nurse. C. Changing the wound care treatment. D. Consulting with another nurse. Correct Answer: B. Calling the wound care nurse. Calling… Read More »
An eleven-month-old infant is brought to the pediatric clinic. The nurse suspects that the child has iron-deficiency anemia. Because iron deficiency anemia is suspected, which of the following is the most important information to obtain from the infant’s parents? A. Normal dietary intake. B. Relevant socio-cultural, economic, and educational background of the family. C.… Read More »
A male client with atrial fibrillation who is receiving maintenance therapy of warfarin (Coumadin) has a prothrombin time of 37 seconds. Based on the result, the nurse will follow which of the following doctor’s orders? A. Administering the next dose of warfarin. B. Increasing the next dose of warfarin. C. Decreasing the… Read More »
A client has recently been told he has terminal cancer. As the nurse enters the room, he yells, “My eggs are cold, and I’m tired of having my sleep interrupted by noisy nurses!” The nurse may interpret the client’s behavior as: A. An expression of the anger stage of dying. B. An expression… Read More »
When bathing a patient’s extremities, the nurse should use long, firm strokes from the distal to the proximal areas. This technique: A. Provides an opportunity for skin assessment. B. Avoids undue strain on the nurse. C. Increases venous blood return. D. Causes vasoconstriction and increases circulation. Correct… Read More »
The nurse in charge is assessing a patient’s abdomen. Which examination technique should the nurse use first? A. Auscultation B. Inspection C. Percussion D. Palpation Correct Answer: B. Inspection Inspection always comes first when performing a physical examination. It is important to begin with the general examination… Read More »