A 65-year-old man has been admitted to the hospital for spinal stenosis surgery. When should the discharge training and planning begin for this patient? A. Following surgery B. Upon admission C. Within 48 hours of discharge D. Preoperative discussion Correct Answer: B. Upon admission Discharge education begins… Read More »
Which of the following conditions is linked to more than 50% of clients with abdominal aortic aneurysms? A. DM B. HPN C. PVD D. Syphilis Correct Answer: B. HPN Continuous pressure on the vessel walls from hypertension causes the walls to weaken and an aneurysm to occur.… Read More »
Mrs. Chua, a 78-year-old client, is admitted with the diagnosis of mild chronic heart failure. The nurse expects to hear when listening to client’s lungs indicative of chronic heart failure would be: A. Stridor B. Crackles C. Wheezes D. Friction rubs Correct Answer: B. Crackles Left-sided heart… Read More »
The nurse is caring for a client with a long leg cast. During discharge teaching about appropriate exercises for the affected extremity, the nurse should recommend: A. Isometric B. Range of motion C. Aerobic D. Isotonic Correct Answer: A. Isometric The nurse should instruct the client on… Read More »
Which of the following sounds is distinctly heard on auscultation over the abdominal region of an abdominal aortic aneurysm client? A. Bruit B. Crackles C. Dullness D. Friction rubs Correct Answer: A. Bruit A bruit, a vascular sound resembling a heart murmur, suggests partial arterial occlusion. In… Read More »
A 51-year-old female client tells the nurse-in-charge that she has found a painless lump in her right breast during her monthly self-examination. Which assessment finding would strongly suggest that this client’s lump is cancerous? A. Eversion of the right nipple and mobile mass B. Nonmobile mass with irregular edges C. Mobile mass… Read More »
A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include: A. Teaching the mother to provide tactile stimulation B. Wrapping the newborn snugly in a blanket C. Placing the newborn in the infant seat D. Initiating an early infant-stimulation program … Read More »
A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to: A. Checking for cervical dilation B. Placing the client in a supine position C. Checking the client’s blood pressure D. Obtaining a fetal heart rate … Read More »
A clinic patient has a hemoglobin concentration of 10.8 g/dL and reports sticking to a strict vegetarian diet. Which of the following nutritional advice is appropriate? A. The diet is providing adequate sources of iron and requires no changes. B. The patient should add meat to her diet; a vegetarian diet is not… Read More »
Nurse Alexandra teaches a client about elastic stockings. Which of the following statements, if made by the client, indicates to the nurse that the teaching was successful? A. “I will wear the stockings until the physician tells me to remove them.” B. “I should wear the stockings even when I am asleep.” … Read More »