To maintain Bryant’s traction, the nurse must make certain that the child’s: A. Hips are resting on the bed, with the legs suspended at a right angle to the bed B. Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed C. Hips… Read More »
The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select? A. Roast beef, gelatin salad, green beans, and peach pie B. Chicken salad sandwich, coleslaw, French fries, ice cream C. Egg salad on wheat bread, carrot sticks, lettuce salad,… Read More »
Mr. Mendoza who has suffered a cerebrovascular accident (CVA) is too weak to move on his own. To help the client avoid pressure ulcers, Nurse Celia should: A. Turn him frequently. B. Perform passive range-of-motion (ROM) exercises. C. Reduce the client’s fluid intake. D. Encourage the client to use a footboard.… Read More »
A client is admitted to the emergency room with renal calculi and is complaining of moderate to severe flank pain and nausea. The client’s temperature is 100.8 degrees Fahrenheit. The priority nursing goal for this client is: A. Maintain fluid and electrolyte balance B. Control nausea C. Manage pain D. Prevent urinary tract… Read More »
A patient with Addison’s disease asks a nurse for nutrition and diet advice. Which of the following diet modifications is not recommended? A. A diet high in grains B. A diet with adequate caloric intake C. A high protein diet D. A restricted sodium diet Correct Answer: D. A… Read More »
You are helping the patient with an SCI to establish a bladder-retraining program. What strategies may stimulate the patient to void? Select all that apply. A. Stroke the patient’s inner thigh. B. Pull on the patient’s pubic hair. C. Initiate intermittent straight catheterization. D. Pour warm water over the perineum. E.… Read More »
A 68-year-old client is diagnosed with a right-sided brain attack and is admitted to the hospital. In caring for this client, the nurse should plan to: A. Application of elastic stockings to prevent flaccid by muscle B. Use hand roll and extend the left upper extremity on a pillow to prevent contractions … Read More »
The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid: A. Using oil- or cream-based soaps B. Flossing between the teeth C. The intake of salt D. Using an electric razor Correct Answer: B. Flossing between the teeth The… Read More »
For a diabetic male client with a foot ulcer, the doctor orders bed rest, a wet to- dry dressing change every shift, and blood glucose monitoring before meals and bedtime. Why are wet-to-dry dressings used for this client? A. They contain exudate and provide a moist wound environment. B. They protect the wound… Read More »
The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs? A. “I will make sure I eat breakfast within 2 hours of taking my insulin.” B. “I will need to carry candy or some form of… Read More »