Which of the following statements made by a nurse discussing the effect of an antibiotic on the gastrointestinal system reflects the best understanding of the possible occurrence of diarrhea? 1. “The GI tract naturally rids itself of bacterial toxins by increasing peristalsis, and that causes diarrhea.” 2. “The antibiotic is responsible for killing off the […]
A urine sample is obtained from the client for a routine urinalysis. Upon reviewing the results of the test, the nurse notes that an expected finding of the urinalysis is: 1. pH 8.0 2. Specific gravity 1.018 3. Protein amounts to 12 mg/100 mL 4. White blood cells (WBCs) 5 to 8 per low-power field […]
The nurse is caring for a terminally ill client who recently immigrated to the United States. To provide quality end-of-life care, the nurse must initially: 1. Make every effort to involve the client and his family in the end-of-life care 2. Understand the client’s personal and cultural views regarding death and dying 3. Arrange for […]
The nurse is administering an injection at the ventrogluteal site. On aspiration, the nurse notices that there is blood in the syringe. The nurse should: 1. Inject the medication 2. Pull the needle back slightly and inject the medication 3. Move the skin to the side and inject the medication slowly 4. Discontinue the injection […]
A client is being treated for congestive heart failure. Which physical finding would lead the RN to believe the client’s condition has not improved? 1. Temperature of 98.6°F (37°C) 2. Moderate amount of clear thin mucus 3. Pulse oximetry reading of 96% 4. Wheezing of breath sounds in all lobes ANSWER Correct Answer: 4 […]
The nurse caring for an immobile client with a pressure ulcer implements an intervention that re-quires repositioning the client every 2 hours. Which of the following represents the best evalua-tion method for this intervention? 1. No additional pressure ulcers are noted over a 1-week period. 2. Client expresses a decrease in pressure ulcer related pain […]
After identifying the problem, the next step in the research process is to: 1. Select the population 2. Review the literature 3. Obtain approval to conduct the study 4. Identify the instrument to use for data analysis ANSWER ANS: 2 After identifying the problem, the next step in the research process is to review […]
The primary function of a care plan is to provide: 1. The client with continuity of care 2. The staff with written client-centered nursing interventions 3. An established criteria for the evaluation of nursing outcomes 4. An organized means of exchanging information between caregivers ANSWER ANS: 1 The nursing care plan enhances the continuity […]
A 34-year-old diabetic female client had a spontaneous vaginal birth of a 37-week 6.2 kg infant. The nurse caring for the client post-partum understands that due to the traumatic birth the client is at increased risk for: 1. Acute urinary retention 2. Hematuria 3. Kidney failure 4. Enuresis ANSWER ANS: 1 In acute retention […]
The nurse will often display empathy in communication with clients. Of the following responses by the nurse, which one best conveys empathy? 1. “Good morning. How did you sleep last night?” 2. “I can understand your concern about learning to inject yourself.” 3. “Do you mean you would like to talk to the new family […]
