When examining a patient with abdominal pain the nurse in charge should assess: A. Any quadrant first B. The symptomatic quadrant first C. The symptomatic quadrant last D. The symptomatic quadrant either second or third Correct Answer: C. The symptomatic quadrant last The nurse should systematically assess… Read More »
A female client has a urinary tract infection. Which teaching points by the nurse should be helpful to the client? Select all that apply. A. Limit fluids to avoid the burning sensation on urination. B. Review symptoms of UTI with the client. C. Wipe the perineal area from back to front. D.… Read More »
Following a tonsillectomy, a female client returns to the medical-surgical unit. The client is lethargic and reports having a sore throat. Which position would be most therapeutic for this client? A. Semi-Fowler’s B. Supine C. High-Fowler’s D. Side-lying Correct Answer: D. Side-lying Because of lethargy, the post-tonsillectomy client is… Read More »
Which of the following will probably result in a break in sterile technique for respiratory isolation? A. Opening the patient’s window to the outside environment. B. Turning on the patient’s room ventilator. C. Opening the door of the patient’s room leading into the hospital corridor. D. Failing to wear gloves when… Read More »
Which technique would be best in caring for a client following receiving a diagnosis of a stage IV tumor in the brain? A. Offering the client pamphlets on support groups for brain cancer. B. Asking the client if there is anything he or his family needs. C. Reminding the client that advances… Read More »
When assessing the lower extremities for arterial function, which intervention should the nurse perform? A. Assessing the medial malleoli for pitting edema. B. Performing Allen’s test. C. Assessing the Homans’ sign. D. Palpating the pedal pulses. Correct Answer: D. Palpating the pedal pulses. Palpating the client’s pedal… Read More »
A client with liver cirrhosis has been advised to follow a high-protein diet. The nurse evaluates the effectiveness of the diet if the total protein level is which of the following values? A. 6.9 g/dL. B. 4.9 g/dL. C. 2.9 g/dL. D. 0.9 g/dL. Correct Answer: A.… Read More »
Which of the following is not included in evaluating the degree of heritage consistency in a client? A. Gender B. Culture C. Ethnicity D. Religion Correct Answer: A. Gender The term heritage consistency is used to describe how much or how little a person’s lifestyle reflects his… Read More »
The nurse is assessing a postoperative adult patient. Which of the following should the nurse document as subjective data? A. Vital signs B. Laboratory test result C. Patient’s description of pain D. Electrocardiographic (ECG) waveforms Correct Answer: C. Patient’s description of pain Subjective data come directly from… Read More »
The nurse inspects a client’s pupil size and determines that it’s 2 mm in the left eye and 3 mm in the right eye. Unequal pupils are known as: A. Anisocoria B. Ataxia C. Cataract D. Diplopia Correct Answer: A. Anisocoria Unequal pupils are called anisocoria. Anisocoria,… Read More »