Electronic client data that can be retrieved by caregivers, administrators, and accreditors have the ability to improve health care by which of the following? 1. Monitor quality. 2. Access warehouse data (stored data). 3. Possess greater security of client records. 4. Constant availability of client health information. 5. Minimizing cost related to client healthcare information. […]
On assessment, the nurse discovers the dependent male client has athlete’s foot bilaterally. Be-fore delegating the bathing of the client to the nursing assistive personnel, the nurse needs to in-struct the nursing assistive personnel to: 1. Use a lot of friction when washing the feet to remove the dead skin cells 2. Wash the client’s […]
The nurse is preparing to administer a nasal instillation of medication to a client. The best position for accessing the posterior pharynx is to place the client in a supine position and tilt the client’s head: 1. Backward 2. Over the edge of the bed with the head to one side 3. Over a small […]
The nurse is preparing to assist a client to a lateral position to position a bedpan. What action should the nurse take first? 1. Perform hand hygiene. 2. Move the client to the side of the bed. 3. Place the client’s arm over the chest. 4. Raise the opposite side rail. ANSWER Correct Answer: […]
There are a variety of levels of critical thinking. An example of critical thinking at the complex level is: 1. Giving medication at the time ordered 2. Following a procedure for catheterization step-by-step 3. Reviewing all clients’ medical records thoroughly 4. Discussing various alternative pain management techniques ANSWER ANS: 4 Discussing alternative pain management […]
A client asks the RN why it is more difficult to use a bedpan for defecating than sitting on the toilet. Which would be the nurse’s best response? 1. The sitting position decreases the contractions of the muscles of the pelvic floor. 2. The sitting position increases the downward pressure on the rectum, making it […]
A client is experiencing changes in taste. What can the nurse do to improve this client’s gustatory sense? 1. Suggest eating each food separately. 2. Offer foods with a variety of flavors. 3. Recommend eating foods that are cold. 4. Promote sips of water between eating different foods. 5. Encourage the client to consume foods […]
A client recovering from a left below-the-knee amputation is experiencing left foot pain. The nurse realizes the client is experiencing which type of pain? 1. Phantom limb pain 2. Acute pain 3. Chronic pain 4. Narcotic-induced pain ANSWER Correct Answer: 1 Rationale 1: Phantom sensations, the feeling that a lost body part is present, […]
A client experiencing pain has been prescribed aspirin. The nurse realizes that this medication will affect which pain process? 1. Transduction 2. Transmission 3. Perception 4. Modulation ANSWER Correct Answer: 1 Rationale 1: During the transduction phase, noxious stimuli trigger the release of biochemical mediators, such as prostaglandins, bradykinin, serotonin, histamine, and substance P, […]
The night nurse goes quietly into the sleeping client’s room to assess him. The client wakes up as soon as the nurse is in the room. The nurse knows that the client was most likely in which stage of sleep? 1. Stage 1: NREM 2. Stage 2: NREM 3. Stage 3: NREM 4. Stage 4: […]
