A nurse is caring for a client who disconnected the tubing of the parenteral nutrition from the central line catheter. A nurse suspects an occurrence of an air embolism. Which of the following is an appropriate position for the client in this kind of situation? A. On the right side, with head higher than… Read More »
Which statement about loss is accurate? A. Loss is only experienced when there is an actual absence of something valued. B. The more the individual has invested in what is lost, the less the feeling of loss. C. Loss may be maturational, situational, or both. D. The degree of stress experienced… Read More »
The nurse uses a stethoscope to auscultate a male patient’s chest. Which statement about a stethoscope with a bell and diaphragm is true? A. The bell detects high-pitched sounds best. B. The diaphragm detects high-pitched sounds best. C. The bell detects thrills best. D. The diaphragm detects low-pitched sounds best. … Read More »
A patient is admitted with shortness of breath, so the nurse immediately listens to his breath sounds. Which type of assessment is the nurse performing? A. Ongoing assessment B. Comprehensive physical assessment C. Focused physical assessment D. Psychosocial assessment Correct Answer: C. Focused physical assessment The nurse… Read More »
Which action by the nurse represents proper nasopharyngeal/nasotracheal suctioning technique? A. Lubricate the suction catheter with petroleum jelly before and between insertion. B. Apply suction intermittently while inserting the suction catheter. C. Rotate the catheter while applying suction. D. Hyper oxygenate with 100% oxygen for 30 minutes before and after suctioning.… Read More »
Which of the following statements about chest X-rays is not true? A. No contradictions exist for this test. B. Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist. C. A signed consent is not required. D. Eating, drinking, and medications are allowed before this… Read More »
When assessing a newborn whose mother consumed alcohol during the pregnancy, the nurse would assess for which of these clinical manifestations? A. Wide-spaced eyes, smooth philtrum, flattened nose B. Strong tongue thrust, short palpebral fissures, simian crease C. Negative Babinski sign, hyperreflexia, deafness D. Shortened limbs, increased jitteriness, constant sucking … Read More »
Which term would the nurse use to document pain at one site that is perceived in another site? A. Referred pain B. Phantom pain C. Intractable pain D. Aftermath of pain Correct Answer: A. Referred pain Referred pain is pain occurring at one site that is perceived… Read More »
A client is being weaned off from parenteral nutrition (PN) and is given a go-signal to take a regular diet. The ongoing solution rate has been 120ml/hr. A nurse expects that which of the following prescriptions regarding the PN solution will accompany the diet order? A. Decrease the PN rate to 60ml/hr. B.… Read More »
Trying questionable and experimental forms of therapy is a behavior that is characterized by which stage of dying? A. Anger B. Depression C. Bargaining D. Acceptance Correct Answer: C. Bargaining This is the step in the grieving process where one may think “If this __, then this__.”… Read More »