After 1 week of hospitalization, Mr. Gray develops hypokalemia. Which of the following is the most significant symptom of his disorder? A. Lethargy B. Increased pulse rate and blood pressure C. Muscle weakness D. Muscle irritability Correct Answer: C. Muscle weakness Presenting symptoms of hypokalemia ( a… Read More »
The nursing care plan is: A. A written guideline for implementation and evaluation. B. A documentation of client care. C. A projection of potential alterations in client behaviors. D. A tool to set goals and project outcomes. Correct Answer: A. A written guideline for implementation and evaluation.… Read More »
A nurse is assessing several clients in a long-term health care facility. Which client is at highest risk for the development of decubitus ulcers? A. A 79-year-old malnourished client on bed rest. B. An obese client who uses a wheelchair. C. An incontinent client who has had 3 diarrhea stools. D. An 80-year-old… Read More »
The nurse is handling a client with a chest tube. Suddenly, the chest drainage system is accidentally disconnected. What is the most appropriate action for the nurse to take? A. Secure the chest tube using tape. B. Clamp the chest tube immediately. C. Place the end of the chest tube in a container of… Read More »
Which criterion is needed for someone to give consent to a procedure? A. An appointed guardianship B. Unemancipated minor C. Minimum of 21 years or older D. An advocate for a child Correct Answer: A. An appointed guardianship A guardian has been appointed by a court and… Read More »
Which of the following is/are an example(s) of a health restoration activity? Select all that apply. A. Administering an antibiotic every day. B. Teaching the importance of handwashing. C. Assessing a client’s surgical incision. D. Advising a woman to get an annual mammogram after age 50 years. E. Attending rehabilitation of… Read More »
The best way to decrease the risk of transferring pathogens to a patient when removing contaminated gloves is to: A. Wash the gloves before removing them. B. Gently pull on the fingers of the gloves when removing them. C. Gently pull just below the cuff and invert the gloves when removing them. D.… Read More »
A nurse assigned to care for a postoperative male client who has diabetes mellitus. During the assessment interview, the client reports that he’s impotent and says that he’s concerned about its effect on his marriage. In planning this client’s care, the most appropriate intervention would be to: A. Encourage the client to ask questions about personal… Read More »
Which of the following nursing interventions promotes patient safety? A. Assess the patient’s ability to ambulate and transfer from a bed to a chair. B. Demonstrate the signal system to the patient. C. Check to see that the patient is wearing his identification band. D. All of the above. … Read More »
After determining a nursing diagnosis of acute pain, the nurse develops the following appropriate client-centered goal: A. Encourage the client to implement guided imagery when pain begins. B. Determine the effect of pain intensity on client function. C. Administer analgesic 30 minutes before physical therapy treatment. D. Pain intensity reported as… Read More »