The patient with multiple sclerosis tells the nursing assistant that after physical therapy she is too tired to take a bath. What is your priority nursing diagnosis at this time? A. Fatigue related to disease state B. Activity Intolerance due to generalized weakness C. Impaired Physical Mobility related to neuromuscular impairment … Read More »
An 89-year-old female patient who has been admitted to the medical unit with new-onset angina also has a diagnosis of Alzheimer’s disease. The patient’s husband reports to you that he rarely gets a good night’s sleep because he needs to make sure his wife does not wander during the night. He insists on checking each… Read More »
The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats? A. Macaroni and cheese B. Shrimp with rice C. Turkey breast D. Spaghetti Correct Answer: C. Turkey breast Turkey contains the least amount of fats and… Read More »
Brittany who is undergoing chemotherapy for her throat cancer is experiencing stomatitis. To promote oral hygiene and comfort, the nurse-in-charge should: 1. Provide frequent mouthwash with normal saline. A. Provide frequent mouthwash with normal saline. B. Apply viscous Lidocaine to oral ulcers as needed. C. Use lemon glycerine swabs every 2… Read More »
The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client? A. Roast beef sandwich, potato chips, pickle spear, iced tea B. Split pea soup, mashed potatoes, pudding, milk C. Tomato soup, cheese toast, Jello, coffee D. Hamburger, baked beans, fruit… Read More »
A 20-year-old patient is being treated for pneumonia. He has a persistent cough and complains of severe pain on coughing. What could you tell him to help him reduce his discomfort? A. “Hold your cough as much as possible.” B. “Place the head of your bed flat to help with coughing.” C.… Read More »
The nurse is preparing to administer an enteral feeding to a client via a nasogastric feeding tube. The most important action of the nurse is: A. Verify correct placement of the tube B. Check that the feeding solution matches the dietary order C. Aspirate abdominal contents to determine the amount of last feeding remaining… Read More »
When taking a dietary history from a newly admitted female client, Nurse Len should remember which of the following foods is a common allergen? A. Bread B. Carrots C. Orange D. Strawberries Correct Answer: D. Strawberries Common food allergens include berries, peanuts, Brazil nuts, cashews, shellfish, and… Read More »
When caring for a female client who is being treated for hyperthyroidism, it is important to: A. Provide extra blankets and clothing to keep the client warm. B. Monitor the client for signs of restlessness, sweating, and excessive weight loss during thyroid replacement therapy. C. Balance the client’s periods of activity and… Read More »
The nurse is caring for a 27-year-old female client with venous stasis ulcer. Which nursing intervention would be most effective in promoting healing? A. Apply dressing using sterile technique B. Improve the client’s nutrition status C. Initiate limb compression therapy D. Begin proteolytic debridement Correct Answer: B.… Read More »