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 »
Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend? A. A family vacation in the Rocky Mountains B. Chaperoning the local boys club on a snow-skiing trip C. Traveling by airplane for business trips D. A… Read More »
The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to: A. Lack of exercise B. Hormonal disturbances C. Lack of calcium D. Genetic predisposition Correct Answer: B. Hormonal disturbances After menopause, women lack hormones necessary to absorb and utilize calcium. Primary osteoporosis is… Read More »
During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate? A. Administer an antibiotic B. Contact the physician for an order for immune globulin C. Administer an antiviral D. Tell the client that he should remain in… Read More »