Quality health care is an innovative approach to delivering health care. The major factor for its success is that it: 1. Focuses on the nursing process 2. Uses outcomes to manage client care 3. Is used exclusively in the acute care setting 4. Allows a high degree of flexibility delivering the care ANSWER ANS: […]
The nurse caring for a client in an extended care facility should provide which intervention in a bladder retraining program? 1. Providing negative reinforcement when the client is incontinent 2. Having the client wear adult diapers as a preventative measure 3. Putting the client on a q2h toilet schedule during the day 4. Promoting the […]
The nurse finds a client pulseless and breathless. The client’s skin is pale and cool, but not cyanotic. Because of this finding, what should the nurse suspect? 1. Respiratory arrest occurred prior to cardiac arrest. 2. Cardiac arrest occurred prior to respiratory arrest. 3. The client cannot be resuscitated. 4. Arrest was caused by airway […]
The nurse appropriately instructs trained ancillary personnel to use an electronic blood pressure cuff to take the blood pressure of which of the following clients? 1. A 25-year-old who was admitted for alcohol detoxification 2. A 69-year-old diagnosed with Parkinson’s disease 5 years ago 3. A 57-year-old placed on antihypertensive medication therapy 2 months ago […]
While bathing an elderly client who has limited abilities for self-care, the nurse notices several patches of dry skin on the client’s heels, elbows, and coccyx. The nurse cleans and dries all the areas well and applies a moisturizing lotion. The most appropriate immediate follow-up by the nurse to ensure appropriate nursing care for this […]
The student nurse is studying the various applications of law to understand the regulations surrounding nursing practice in the state. What is the type of law that implements and enforces the nurse practice act of any given state? 1. Statutory law 2. Administrative law 3. Common law 4. Public law ANSWER Correct Answer: 2 […]
Which of the following clients is at risk for fluid, electrolyte, and acid-base imbalances? (Select all that apply.) 1. 50-year-old with hypertension 2. 36-year-old with schizophrenia 3. 40-year-old with a fractured femur 4. 15-month-old with diarrhea for 2 days 5. 76-year-old with advanced Alzheimer’s disease 6. 25-year-old with partial-thickness burns over 40% of the body […]
The nurse is preparing a client for an abdominal examination. What should the nurse done before beginning the examination? 1. Ask the client to urinate. 2. Ask the client to drink 8 ounces of water. 3. Assess vital signs. 4. Assess heart rate. ANSWER Correct Answer: 1 Rationale 1: The nurse should ask the […]
An IV solution of 125 mL is to be infused over a 1-hour period. A microdrip infusion set will be used. The nurse calculates the infusion rate as: 1. 32 gtt/min 2. 60 gtt/min 3. 125 gtt/min 4. 250 gtt/min ANSWER ANS: 3 (60 gtt/mL ÷ 60 min) x 125 mL = 125 gtt/min.
For a client with a nursing diagnosis of excess fluid volume, the nurse is alert to which one of the following signs and symptoms? 1. Weak, thready pulse 2. Hypertension 3. Dry mucous membranes 4. Flushed skin ANSWER ANS: 2 Hypertension is a symptom of fluid volume excess. A weak, thready pulse is associated […]