During the evaluation of the quality of home care for a client with Alzheimer’s disease, the priority for the nurse is to reinforce which statement by a family member? A. “At least two (2) full meals a day are eaten.” B. “We go to a group discussion every week at our community center.” C.… Read More »
A child is admitted to the hospital several days after stepping on a sharp object that punctured her athletic shoe and entered the flesh of her foot. The physician is concerned about osteomyelitis and has ordered parenteral antibiotics. Which of the following actions is done immediately before the antibiotic is started? A. The admission… Read More »
A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question? A. Magnesium sulfate 4gm (25%) IV B. Brethine 10 mcg IV C. Stadol 1 mg IV push every 4 hours as needed prn for pain D. Ancef 2gm… Read More »
Mike with epilepsy is having a seizure. During the active seizure phase, the nurse should: A. Place the client on his back, remove dangerous objects, and insert a bite block. B. Place the client on his side, remove dangerous objects, and insert a bite block. C. Place the client on his back,… Read More »
A second-year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most significant action that the nursing student should take? A. Immediately see a social worker B. Start prophylactic AZT treatment C. Start prophylactic Pentamidine treatment D. Seek counseling… Read More »
Nurse Maureen is talking to a male client, the client begins choking on his lunch. He’s coughing forcefully. The nurse should: A. Stand him up and perform the abdominal thrust maneuver from behind. B. Lay him down, straddle him, and perform the abdominal thrust maneuver. C. Leave him to get assistance. … Read More »
A nurse has just started her rounds delivering medication. A new patient on her rounds is a 4-year-old boy who is non-verbal. This child does not have any identification on. What should the nurse do? A. Contact the provider B. Ask the child to write their name on paper C. Ask a… Read More »
The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client: A. Likes to play football B. Drinks several carbonated drinks per day C. Has two sisters with sickle cell tract D. Is taking acetaminophen to control pain … Read More »
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 »