The nurse would like to improve communication among caregivers. How should the nurse use the Joint Commission 2013 National Patient Safety Goals to achieve this objective? 1. Review a list of look-alike/sound-alike drugs used in the organization. 2. Use a verification process to confirm the correct procedure. 3. Report critical results of tests and diagnostic […]
When assessing a client’s respirations, the nurse realizes that the respiratory centers and chemoreceptors respond to changes in which factors? 1. Oxygen concentration 2. Carbon dioxide concentration 3. Hydrogen ions 4. Potassium level 5. Serum calcium level ANSWER Correct Answer: 1, 2, 3 Rationale: The respiratory centers and chemoreceptors respond to changes in the […]
Which of the following statements made by the nurse shows the most thorough understanding of the therapeutic value of testing a reddened area on the heel of a mobility-impaired client for blanching? 1. “If it blanches, the problem isn’t too bad.” 2. “When it stays red, the damage is great.” 3. “Nonblanching hyperemia is a […]
The nurse is working with a client and wants to learn about the individual’s perception of identi-ty. What question should the nurse use to assess this? 1. “What changes would you make in your appearance?” 2. “What activities do you enjoy doing?” 3. “How would you describe yourself?” 4. “What is your usual day like?” […]
In preparing to discuss safe sex practices with a 20-year-old, it is most important that the nurse shares with the client that in addition to physical symptoms of genital pain and discharge, sex-ually transmitted diseases: 1. Can lead to chronic illness and infertility 2. Are particularly common in young adults 3. Respond well to treatment […]
The nurse is discussing a middle-age adult male client’s report of nocturia. The client has diabetes that is managed with diet and exercise as well as hypertension that is currently well-controlled with medication. The nurse should include which of the following as possible causes for his frequent urination at night? (Select all that apply.) 1. […]
The nurse is planning a program on wound healing and includes information that smoking influ-ences healing by: 1. Suppressing protein synthesis 2. Creating increased tissue fragility 3. Depressing bone marrow function 4. Reducing functional hemoglobin in the blood ANSWER ANS: 4 Smoking reduces the amount of functional hemoglobin in the blood, thus decreasing tissue […]
The nurse established the following objective for the client who was unable to void: The client’s intake will be at least 1000 mL between 7 AM and 3:30 PM. Feedback showing success is indi-cated by the client: 1. Voiding at least 1000 mL during the shift 2. Verbalizing abdominal comfort without pressure 3. Having adequate […]
For clients with hypocalcemia, the nurse should implement measures to prevent: 1. Gastric upset 2. Malabsorption 3. Constipation 4. Fluid secretion ANSWER ANS: 3 Disorders of calcium metabolism contribute to difficulty with the passage of stools. The nurse should implement measures to prevent constipation in clients with hypocalcemia. Gastric upset, malabsorption, and fluid secretion […]
A client is observed swallowing a chewable form of aspirin. Which of the following statements made by the nurse shows the best understanding of the educational reinforcement needed by this client? 1. “This aspirin is designed to be chewed, not swallowed.” 2. “This aspirin will not give you the desired effects if it’s swallowed.” 3. […]
