The nurse is administering a medication to a client as prescribed in order to maintain a specific amount of the medication in the client’s bloodstream at all times. The nurse is ensuring that which action is being maintained for this client? 1. Peak plasma level 2. Drug half-life 3. Onset of action 4. Plateau […]
When providing nutritional guidance, the nurse shares with the mother of an 8-year-old client that children of this age need to: 1. Increase their intake of B vitamins 2. Significantly increase iron intake 3. Maintain a sufficient intake of protein and vitamins A and C 4. Increase carbohydrates to meet increased energy needs ANSWER […]
The nurse is preparing to assess a client’s blood pressure. Which artery will the nurse use for this assessment? 1. Brachial 2. Femoral 3. Radial 4. Ulnar ANSWER Correct Answer: 1 Rationale 1: The brachial is the most common artery used to assess a blood pressure reading because it is the most accessible. Rationale […]
The nurse is discussing vision changes that normally occur with aging with a group of older adults. Which of the following conditions should be included in the discussion? (Select all that apply.) 1. Poor night vision 2. Increased optical floaters 3. Reduced peripheral vision 4. Reduced depth perception 5. Increased sensitivity to glare 6. Diminished […]
The 23-year-old female client is concerned about scarring from her hernia surgery. She had a third-degree burn on her right arm when she was younger that left a scar that she is self-conscious about. Then nurse explains to the client that the wound from the burn healed differently than the surgi-cal incision will heal. The […]
The nurse is caring for an older adult who is recovering from hip replacement surgery. The client shares with the nurse that he has been using the urinal “a lot but I feel like my bladder isn’t emp-ty.” Which of the following statements by the nurse shows the best understanding of the appropriate initial intervention […]
The process of data collection should begin with the nurse performing a: 1. Physical exam 2. Client interview 3. Review of medical records 4. Discussion with other health team members ANSWER ANS: 2 The first step in establishing the database is to collect subjective information by interviewing the client. The physical examination follows the […]
Which of the following assessment findings in an older adult increases the individual’s risk for poor nutrition? (Select all that apply.) 1. Living on a Social Security income check 2. Did not graduate from high school 3. Is easily tired by activity 4. Living in a group home 5. Chronically depressed 6. Recently widowed […]
The nurse is installing a bed safety-monitoring device for a client. What should the nurse do after testing the device and alarm sound? 1. Place the leg band on the client with the leg in a straight horizontal position. 2. Place the sensor under the mattress near the shoulder region. 3. Set a time delay […]
A nurse who has been a longtime employee of a hospital, providing bedside care to clients, was seriously injured and is paralyzed from the shoulders down, with limited use of the upper arms. Through rehabilitation, the nurse is able to mobilize with a wheelchair and has no cognitive or psychological deficits. The nurse wants to […]