Given a rationale for preoperative and postoperative procedures, the client is better prepared to participate in care. For which of the following should the nurse provide instruction and rationale? 1. Incentive spirometry 2. Specific details regarding the progression of diet 3. Working the call button for the nurse 4. Using the patient-controlled analgesia (PCA) pump […]
The 45-year-old client reports that she has no interest in sex and that she and her husband have not had intercourse in 16 years. How should the nurse interpret this assessment data? 1. This couple is experiencing sexual dysfunction. 2. The woman’s lack of sexual desire has resulted in impotence in her husband. 3. If […]
A nurse stealing narcotics from an acute care nursing unit is guilty of a: 1. Civil offense 2. Criminal offense 3. Common law offense 4. Administrative law offense ANSWER ANS: 2 Criminal laws prevent harm to society and provide punishment for crimes (often imprisonment). A felony is a crime of a serious nature that […]
A client who is 2 days’ postoperative reports feeling “constipated” to the nurse. The client has good bowel sounds in all four quadrants and has tolerated liquids well. Her pain is being con-trolled with an opioid analgesic. Which of the following interventions should the nurse try initially? 1. “Let me get you some apple juice.” […]
A construction worker is seen in the emergency department with low blood pressure, normal pulse rate, diaphoresis, and weakness. These are clinical signs of: 1. Heatstroke 2. Heat cramp 3. Hypothermia 4. Heat exhaustion ANSWER ANS: 4 The client is exhibiting signs of heat exhaustion (e.g., symptoms of fluid volume deficit). If the client […]
As an individual enters middle adulthood health problems generally become more prevalent. The middle adult may be influenced by chronic illness that results in: 1. Decreased health care tasks 2. Reinforcement of family roles 3. Changed sexual behavior habits 4. Improvement of family relationships ANSWER ANS: 3 A few examples of the problems experienced […]
There are different types of theories that may be used by nurses seeking to study the basis of nursing practice. When the goal of a theory is to speculate on why phenomena occur, it is termed a: 1. Grand theory 2. Prescriptive theory 3. Descriptive theory 4. Middle range theory ANSWER ANS: 3 Descriptive […]
When caring for a client who is experiencing continuous severe pain, the nurse should expect that the pain management plan would include: 1. Focusing on intramuscular administration of analgesics 2. Waiting for pain to become more intense before administering opioids 3. Administering opioids with nonopioid analgesics for severe pain experiences 4. Administering large doses of […]
A client is nauseated, has been vomiting for several hours, and needs to receive an antiemetic (anti-nausea) medication. The nurse recognizes that which of the following is accurate? 1. An enteric-coated medication should be given. 2. Medication will not be absorbed as easily because of the nausea. 3. A parenteral route is the route of […]
The client is experiencing urinary retention, and the health care provider is contacted. The nurse anticipates a medication that will be ordered to promote emptying of the bladder is: 1. Oxybutynin chloride (Ditropan) 2. Bethanechol (Urecholine) 3. Propantheline (Pro-Banthine) 4. Nystatin (Mycostatin) ANSWER ANS: 2 Cholinergic drugs, such as bethanechol (Urecholine), increase contraction of […]
