Which of the following nursing interventions is likely to have the most impact on reducing fric-tion when positioning an immobile client? 1. Involving at least two personnel in the actual transfer 2. Lubricating all body parts that are in contact with the bed 3. Dressing the bed with a lift sheet to be use during […]
Date: September 22nd, 2020
The nurse is completing a physical exam for a 45-year-old client who has come to the family practice office. In evaluating the observations made during the examination, the nurse recognizes that an expected finding for a client in this age-group is: 1. Hepatomegaly 2. Visual acuity below 20/50 3. An oral temperature of 39° C […]
Date: September 22nd, 2020
After measuring the client’s vital signs, the nurse obtains the following results: blood pressure = 180/100 mm Hg, pulse = 82 beats/min, R = 16 breaths/min, and rectal temp = 37.5° C. The nurse should: 1. Retake the blood pressure 2. Retake the client’s temperature 3. Report all of the findings immediately 4. Record the […]
Date: September 22nd, 2020
To reduce the chance of plantar flexion (footdrop) in a client on prolonged bed rest, the nurse should implement the use of: 1. Trapeze bars 2. High-top sneakers 3. Trochanter rolls 4. Thirty-degree lateral positioning ANSWER ANS: 2 High-top tennis shoes or an ankle-foot orthotic may be used to help maintain dorsiflexion and prevent […]
Date: September 22nd, 2020
The primary purpose of the nursing evaluation process is to: 1. Determine the effectiveness of the nursing care provided 2. Identify interventions that are ineffective in achieving client goals 3. Establish the progress the client is making towards health and wellness 4. Critique the nurse’s ability to implement appropriate nursing interventions ANSWER ANS: 1 […]
Date: September 22nd, 2020
A nursing student is learning the application of the nursing process to client care. When questioned by the student about the reason for implementing a nursing diagnosis, the nursing professor responds: “The nursing diagnosis statement: 1. “Describes client problems that nurses are licensed to treat.” 2. “Helps other health care professionals understand the plan of […]
Date: September 22nd, 2020
The nurse is working with a client who has left-sided weakness. After instruction, the nurse ob-serves the client ambulate in order to evaluate the use of the cane. Which action indicates that the client knows how to use the cane properly? 1. The client keeps the cane on the left side. 2. Two points of […]
Date: September 22nd, 2020
The best example of the impact of the women’s movement on health care is: 1. Improvement in breast cancer survival rates 2. Insurance coverage for well-woman check-ups 3. Women subjects to be included in all appropriate health research projects 4. A single, teenage mother receiving Women, Infants, and Children (WIC) benefits ANSWER ANS: 3 […]
Date: September 22nd, 2020
The nurse is planning the care of a client who has need for frequent suctioning. What should the nurse delegate to the UAP? 1. Both oral and tracheal suctioning 2. Only oral suctioning 3. Only tracheal suctioning 4. Neither oral nor tracheal suctioning ANSWER Correct Answer: 2 Rationale 1: The suctioning of the oral […]
Date: September 22nd, 2020
The newly hired nurse notices that coworkers routinely pray with clients and their families. The nurse has never been particularly religious or spiritual and is unaccustomed to praying, but holds no strong feeling against prayer. What is the best strategy for the nurse to plan for such situations? 1. Try to ensure assignment to clients […]
Date: September 22nd, 2020
