The nurse is instructing a 65-year-old female client diagnosed with osteoporosis. The most important instruction regarding exercise would be to A. Exercise doing weight-bearing activities. B. Exercise to reduce weight. C. Avoid exercise activities that increase the risk of fracture. D. Exercise to strengthen muscles and thereby protect bones. … Read More »
While changing the tapes on a tracheostomy tube, the client coughs, and the tube is dislodged. Which is the initial nursing action? A. Call a respiratory therapist to reinsert the tracheotomy. B. Cover the tracheostomy site with a sterile dressing. C. Call the physician to reinsert the tracheotomy. D. Grasp the retention sutures… Read More »
Nurses are bound by a variety of laws. Which description of a type of law is correct? A. Statutory law is created by an elected legislature, such as the state legislature that defines the Nurse Practice Act (NPA). B. Regulatory law includes prevention of harm for the public and punishment for those laws… Read More »
A nurse caring for a patient with an infectious disease who requires isolation should refers to guidelines published by the: A. National League for Nursing (NLN) B. Centers for Disease Control (CDC) C. American Medical Association (AMA) D. American Nurses Association (ANA) Correct Answer: B. Centers for… Read More »
A female client is readmitted to the facility with a warm, tender, reddened area on her right calf. Which contributing factor would the nurse recognize as most important? A. A history of increased aspirin use. B. Recent pelvic surgery. C. An active daily walking program. D. A history of diabetes. … Read More »
The nurse is working on a unit that uses nursing assessment flow sheets. Which statement best describes this form of charting? Nursing assessment flow sheets: A. Are comprehensive charting forms that integrate assessments and nursing actions. B. Contain only graphic information, such as I&O, vital signs, and medication administration. C. Are used to record… Read More »
Mrs. Lim begins to cry as the nurse discusses hair loss. The best response would be: A. “Don’t worry. It’s only temporary” B. “Why are you crying? I didn’t get to the bad news yet” C. “Your hair is really pretty” D. “I know this will be difficult for you, but your hair… Read More »
The following statement appears on the nursing care plan for an immunosuppressed client: The client will remain free from infection throughout hospitalization. This statement is an example of a (an): A. Nursing diagnosis B. Short-term goal C. Long-term goal D. Expected outcome Correct Answer: B. Short-term goal… Read More »
A client in a long-term care facility complains of pain. The nurse collects data about the client’s pain. The first step in pain assessment is for the nurse to A. Have the client identify coping methods. B. Get the description of the location and intensity of the pain. C. Accept the client’s report of… Read More »
The nurse caring for a client with a pneumothorax and who has had a chest tube inserted notes continuous gentle bubbling in the suction control chamber. What action is most appropriate for the nurse? A. Increase the suction pressure so that the bubbling becomes vigorous. B. Do nothing since this is an expected finding. … Read More »