Which of the following is the first priority in preventing infections when providing care for a client? A. Wearing gowns and goggles B. Using a barrier between client’s furniture and nurse’s bag C. Handwashing D. Wearing gloves Correct Answer: C. Handwashing Handwashing remains the most effective way to avoid… Read More »
A client who has frequent watery stools and a possible Clostridium difficile infection is hospitalized with dehydration. Which nursing action should the charge nurse delegate to an LPN/LVN? A. Assess the client’s hydration status B. Explain the purpose of ordered stool cultures to the client and family C. Administer metronidazole (Flagyl) 500… Read More »
A client with clotting disorder has an order to continue lovenox (Enoxaparin) injections after discharge. The nurse should teach the client that lovenox injections should: A. Be injected into the deltoid muscle B. Be injected into the abdomen C. Aspirate after the injection D. Clear the air from the syringe before… Read More »
Category: Health Promotion and Maintenance The nurse is giving discharge teaching to a client seven (7) days post-myocardial infarction. He asks the nurse why he must wait six (6) weeks before having sexual intercourse. What is the best response by the nurse to this question? A. “You need to regain your strength before attempting such exertion.”… Read More »
Olivia had coronary artery bypass graft (CABG) surgery 3 days ago. Which of the following conditions is suspected by the nurse when a decrease in platelet count from 230,000 ul to 5,000 ul is noted? A. Pancytopenia B. Idiopathic thrombocytopenic purpura (ITP) C. Disseminated intravascular coagulation (DIC) D. Heparin-associated thrombosis and… Read More »
A male client with emphysema becomes restless and confused. What step should nurse Jasmine take next? A. Encourage the client to perform pursed-lip breathing. B. Check the client’s temperature. C. Assess the client’s potassium level. D. Increase the client’s oxygen flow rate. Correct Answer: A. Encourage the… Read More »
The immediate objective of nursing care for an overweight, mildly hypertensive male client with ureteral colic and hematuria is to decrease: A. Pain. B. Weight. C. Hematuria. D. Hypertension. Correct Answer: A. Pain. Sharp, severe pain (renal colic) radiating toward the genitalia and thigh is caused by… Read More »
A patient is admitted to the hospital with suspected polycythemia vera. Which of the following symptoms is consistent with the diagnosis? Select all that apply. A. Weight loss B. Increased clotting time C. Hypertension D. Headaches E. Polyphagia Correct Answer: B, C, and D Polycythemia vera is a condition… Read More »
Maritess was recently diagnosed with a genitourinary problem and is being examined in the emergency department. When palpating her kidneys, the nurse should keep which anatomical fact in mind? A. The left kidney usually is slightly higher than the right one. B. The kidneys are situated just above the adrenal glands. C.… Read More »
The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will: A. Tire easily B. Grow normally C. Need more calories D. Be more susceptible to viral infections Correct Answer: A. Tire easily The toddler with a… Read More »