Immediately after an intravenous pyelogram (IVP) the nurse should observe the client for which of the following? 1. Infection in the urinary bladder 2. An allergic reaction to the contrast material 3. Urinary suppression caused by injury to kidney tissues 4. Incontinence as a result of paralysis of the urinary sphincter ANSWER ANS: 2 […]
The primary reason for encouraging a client to urinate before beginning a physical examination is: 1. It avoids stimulation of the bladder during palpation or percussion of the abdo-men 2. It minimizes the possibility of urinary incontinence caused by embarrassment or awkward positioning 3. A full bladder can hinder the examination of the client’s abdominal, […]
A humidity tent is frequently used for infants and young children to liquefy secretions and help reduce a fever. The nurse knows that humidified air puts the client at risk for: 1. Respiratory distress 2. Infection 3. Skin breakdown 4. Hypothermia ANSWER ANS: 4 Air in the humidity tent sometimes becomes cool and falls […]
When interviewing a newly admitted client, the nurse learns that the client is a cigarette smoker. It is determined that the client has a 50 pack-year history. This means that the client has smoked: 1. 2 packs of cigarettes a day for 25 years 2. 50 cigarettes a week for the last year 3. 1 […]
An older adult client in a nursing home has visual and hearing losses. The nurse is alert to which of the following signs that represents the effects of sensory deprivation? 1. Diminished anxiety 2. Improved task completion 3. Altered spatial perception 4. Decreased need for physical stimulation ANSWER ANS: 3 Altered spatial perception, increased […]
The nurse notes that the elderly client she is caring for has dry, flaky skin on her hands, face, arms, and legs. The nurse knows that elderly clients may need bathing: 1. More frequently due to keeping their warmer environments 2. Less frequently than younger clients due to dry skin 3. With strong soap due […]
A helping relationship is being established between nurse and client. In addressing the client, the nurse should: 1. Use the client’s first name 2. Touch the client right away to establish contact 3. Sit far enough away from the client’s personal space 4. Always knock and pause before entering the client’s room ANSWER ANS: […]
The nurse is caring for a 5-kg 8-month-old infant admitted to the hospital by the health care pro-vider, who was concerned about the infant’s low weight. The infant’s birth weight was 3.5 kg. The nurse knows that on average an infant doubles his or her birth weight at what age? 1. 2 to 3 months […]
The manager of a small clinic has cross-trained the nurses to not only provide basic nursing care, but also perform ECG testing, phlebotomy, and some respiratory therapy interventions. This clinic is an example of which delivery model? 1. Managed care 2. Case management 3. Patient-focused care 4. Critical pathways ANSWER Correct Answer: 3 Rationale […]
During assessment, the nurse notes a cardiac murmur that occurs between S1 and S2. The nurse documents this murmur as being 1. diastolic. 2. holosystolic. 3. systolic. 4. pansystolic. ANSWER Correct Answer: 3 Rationale: The period of the cardiac cycle between S1 and S2 is ventricular systole. Any extra heart sounds heard during this […]
