A 50-year-old blind and deaf patient has been admitted to your floor. As the charge nurse, your primary responsibility for this patient is? A. Let others know about the patient’s deficits. B. Communicate with your supervisor your patient safety concerns. C. Continuously update the patient on the social environment. D. Provide… Read More »
After several days of admission, Francis becomes disoriented and complains of frequent headaches. The nurse in-charge first action would be: A. Call the physician B. Document the patient’s status in his charts C. Prepare oxygen treatment D. Raise the side rails Correct Answer: D. Raise the side rails A… Read More »
Nurse Katrina would recognize that the demonstration of crutch walking with tripod gait was understood when the client places weight on the: A. Palms of the hands and axillary regions B. Palms of the hand C. Axillary regions D. Feet, which are set apart Correct Answer: B.… Read More »
The nurse is aware that the best way to prevent postoperative wound infection in the surgical client is to: A. Administer a prescribed antibiotic B. Wash her hands for 2 minutes before care C. Wear a mask when providing care D. Ask the client to cover her mouth when she coughs … Read More »
Which playroom activities should the nurse organize for a small group of 7-year-old hospitalized children? A. Sports and games with rules B. Finger paints and water play. C. “Dress-up” clothes and props. D. Chess and television programs Correct Answer: A. Sports and games with rules The purpose… Read More »
A client hospitalized with MRSA (methicillin-resistant staph aureus) is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact? A. The client should be placed in a room with negative pressure. B. Infection requires close contact; therefore, the door may remain open. C. Transmission is highly likely, so the… Read More »
The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge? A. Russell’s traction B. Buck’s traction C. Halo traction D. Crutchfield tong traction Correct Answer: C. Halo traction Halo traction will be ordered for the… Read More »
A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the: A. Palms rest lightly on the handles B. Elbows are flexed 0° C. Client walks to the front of the walker D.… Read More »
The parents of a child, age 6, who will begin school in the fall ask the nurse for anticipatory guidance. The nurse should explain that a child of this age: A. Is highly sensitive to criticism B. Rebels against scheduled activities C. Still depends on the parents D. Loves to tattle… Read More »
A child has third-degree burns of the hands, face, and chest. Which nursing diagnosis takes priority? A. Impaired urinary elimination related to fluid loss B. Ineffective airway clearance related to edema C. Disturbed body image related to physical appearance D. Risk for infection related to epidermal disruption … Read More »