Which of the following nursing statements regarding the release of a client’s medical record to another institution requires immediate follow-up by the nurse’s manager? 1. “I’m pretty sure this will require the client’s permission.” 2. “Are you sure of the exact policy? Do you know what I should do?” 3. “The client agreed to the […]
A client is prescribed a diagnostic test requiring a 24-hour stool specimen. What should this test indicate to the nurse? 1. Analyze the stool for dietary products and digestive secretions. 2. Detect the presence of bacteria or viruses. 3. Detect the presence of ova and parasites. 4. Determine the presence of occult blood. ANSWER […]
A home health nurse explains the procedures for preventing infection in a client’s central venous access device and has the client’s spouse watch while the nurse hooks the client to the medication infusion. The nurse is acting in which of the following roles? 1. Caregiver 2. Advocate 3. Educator 4. Coordinator ANSWER Correct Answer: […]
The nurse is interviewing a client with a history of benign prostatic hypertrophy (BPH). In light of this diagnosis, the nurse should include information regarding which of the following in order to assess the chronic effects of this renal disorder? 1. Number of times he usually urinates in a 24-hour period 2. What medications he […]
The nurse is preparing to change the dressing on a client’s postoperative wound. Place in order the steps the nurse should perform when removing the soiled dressing. 1. Assess the location, type, and odor of wound drainage. 2. Remove the outer dressing. 3. Discard the under dressing in a moisture-proof bag, and remove and discard […]
Which of the following is an example of an intervention used in the Prob-lem-Intervention-Evaluation documentation method? 1. Risk for injury related to falling due to dizziness 2. Client fell while walking to bathroom unassisted 3. Client continues to report periods of dizziness upon sitting up 4. Educated to the purpose of dangling on the bedside […]
Which of the following client-centered goals best rest reflects singular focus? 1. Client will cough and deep breathe every hour while awake. 2. Client will be free of shoulder and elbow pain by discharge. 3. Client will adhere to a low-fat diet and lose 3 pounds in 30 days. 4. Client will ambulate to the […]
The client has been admitted to an acute care unit with a diagnosis of biliary disease. The nurse suspects that the feces will appear: 1. Bloody 2. Pus filled 3. Black and tarry 4. White or clay colored ANSWER ANS: 4 Stool that is white or clay colored indicates an absence of bile. Bloody […]
Which of the following are considered portals of exit in the chain of infection? (Select all that apply.) 1. A bleeding cut 2. A hardy sneeze 3. A kiss on the lips 4. A urinary catheter 5. A scraped knuckle 6. A friendly handshake ANSWER ANS: 1, 2, 3, 4, 5 After microorganisms find […]
The nurse is planning care for a client who has limited bed mobility. What instruction should be given to the assistive personnel who will be caring for this client? 1. Place a turn sheet on the bed. 2. Always use two personnel to move the client. 3. Stand at the head of the bed to […]
