The primary purpose for placing an immobile client’s arms across his or her chest when preparing to transfer the client up in the bed is to: 1. Increase the stability of the client’s body 2. Protect the client’s arms from being hurt during the transfer 3. Produce a more compact form that facilitates the transfer […]
A client is dealing with chronic pain. The nurse suggests implementation of relaxation techniques. The nurse’s most informed response to the client’s question “How is relaxing going to help my pain?” would be: 1. “What have you got to lose? It could certainly help.” 2. “It will increase the effectiveness of the pain medication you’re […]
To help a comatose client’s family make a moral decision regarding the termination of life sup-port, the nurse must first: 1. Refrain from expressing his/her personal beliefs concerning the life support issue 2. Provide the family with information regarding the process of terminating life support 3. Determine whether the client had expressed any written or […]
Nurses need to become familiar with the elements of a research publication. A brief explanation of the type of measurement to be used is found in which section of a study? 1. Results 2. Methods 3. Conclusion 4. Introduction ANSWER ANS: 2 The methods section of a study includes the description of the sample […]
The nurse has successfully completed a distance learning class on ECG (electrocardiogram) inter-pretation. This is an example of the nurse exhibiting the professional principle of: 1. Advocacy 2. Responsibility 3. Accountability 4. Confidentiality ANSWER ANS: 2 The word responsibility refers to a willingness to respect obligations and to follow through on promises. The nurse […]
Which of the following statements made by the nurse regarding the client’s self-assessment of pain requires immediate follow-up regarding the personal nature of pain? 1. “The medication should be providing enough relief; try to ambulate her.” 2. “I’ve never known anyone to have such pain after that procedure.” 3. “He should be able to ambulate […]
The client has been diagnosed with malignant bone cancer and the treatment involves chemo-therapy on an outpatient basis. While treating the cancer the client unfortunately becomes very ill, experiences significant side effects from the therapy, and has a severe reduction in the quality of life. The specific ethical principle that is in question in this […]
A priority nursing intervention when caring for a client who is receiving an epidural infusion for pain relief is to: 1. Use aseptic technique 2. Label the port as an epidural catheter 3. Monitor vital signs every 15 minutes 4. Avoid supplemental doses of sedatives ANSWER ANS: 3 When clients are receiving epidural analgesia, […]
The nurse is setting up a sterile field. Which action by the nurse best exhibits surgical asepsis? 1. Disinfecting an item before adding it to a sterile field 2. Allowing sterile gloved hands to fall below the waist 3. Suctioning the oral cavity of an unconscious client 4. Touching only the inside surface of the […]
The nurse needs to measure the temperature of a client who has a history of heart disease and has eaten a bowl of vegetable soup 45 minutes ago. Which site should the nurse use? 1. Axilla 2. Oral 3. Popliteal 4. Rectal ANSWER Correct Answer: 2 Rationale 1: The axilla is the preferred site […]