A client is prescribed to receive a cleansing enema. What should the nurse instruct the client prior to administering this enema? 1. Hold the solution for a short time. 2. Lie in the left lateral position. 3. Lie in the right lateral position. 4. Take fast breaths through the nose. ANSWER Correct Answer: 2 […]
Date: September 21st, 2020
The client with a chronic obstructive respiratory disease is receiving oxygen via a nasal cannula. Which of the following interventions does the nurse plan to include in the client’s care? 1. Assess nares for skin breakdown every 6 hours. 2. Check patency of the cannula every 2 hours. 3. Inspect the mouth every 6 hours. […]
Date: September 21st, 2020
An immobilized client is suspected of having atelectasis. This is assessed by the nurse upon aus-cultation as: 1. Harsh crackles 2. Wheezing on inspiration 3. Diminished breath sounds 4. Bronchovesicular whooshing ANSWER ANS: 3 Atelectasis is the collapse of alveoli. In atelectasis, secretions block a bronchiole or a bronchus, and the distal lung tissue […]
Date: September 21st, 2020
The nurse is attending a seminar on bioterrorism. What should the nurse identify as being the highest concern for homeland security? 1. Cancer 2. Seasonal flu 3. Tuberculosis 4. Smallpox ANSWER Correct Answer: 4 Rationale 1: Cancer does not pose a threat to homeland security. Rationale 2: Seasonal flu does not pose a threat […]
Date: September 21st, 2020
In performing a physical assessment for an older adult, the nurse anticipates finding which of the following normal physiological changes of aging? 1. Increased perspiration 2. Increased airway resistance 3. Increased salivary secretions 4. Increased pitch discrimination ANSWER ANS: 2 Normal physiological changes of aging include increased airway resistance in the older adult. The […]
Date: September 21st, 2020
A client needs to be placed in contact isolation. What items should the nurse ensure are included in this client’s room? 1. Cabinet stocked with gloves and gowns 2. Cards and records 3. Paper towels, sink, and blood pressure cuff 4. Sign on the door ANSWER Correct Answer: 3 Rationale 1: A cabinet stocked […]
Date: September 21st, 2020
A nurse caring for the Arab community observes a client crying. The woman was recently in-formed that her radiation treatments may affect her ability to become pregnant. The nurse recognizes that the client is most likely reacting to a cultural attitude regarding: 1. The importance of children to an Arab family 2. The Arab view […]
Date: September 21st, 2020
The nursing student is bathing a 73-year-old Native American female client. The student reports to the nurse that the client has what looks like cyanosis on her sacrum. The nurse goes with the student to assess the client but suspects that the cyanosis that the student sees is most likely: 1. Caused from the client […]
Date: September 21st, 2020
The nurse is counseling a woman who has multiple sexual partners and has recently been diag-nosed with the human papillomavirus (HPV). The importance of regularly scheduled Pap smears is discussed primarily because: 1. This woman has a high risk for cervical cancer 2. Her sexual practices also put her at risk for HIV 3. This […]
Date: September 21st, 2020
The wife of a client diagnosed with Alzheimer’s disease shares with the home health nurse that, “We always went to church on Wednesday evenings. I miss that a lot.” Which of the following statements made by the nurse has the greatest therapeutic value at this time? 1. “Was religion as important to your husband as […]
Date: September 21st, 2020
