The nurse is caring for a client with diabetes. What should the nurse include as foot care for this client? 1. Cut toenails in a rounded shape and file. 2. Dry toes thoroughly. 3. Wash feet with water at a temperature of 90°F to 98.6°F. 4. Inspect feet thoroughly once a week. ANSWER Correct […]
Date: September 21st, 2020
The nurse is discontinuing a client’s IV line in preparation for the client’s discharge home. Upon withdrawing the cannula from the peripheral site, the nurse notes that the tip of the cannula is missing. The first thing that the nurse should do is: 1. Notify the health care provider immediately 2. Apply pressure to the […]
Date: September 21st, 2020
When following up on a client’s report of hip pain during an admission assessment, the most nursing conclusive observation would be: 1. The client tearing when being ambulated to the chair 2. A report from the ancillary staff that the client is reporting pain 3. The client observed grimacing when positioning self in the bed […]
Date: September 21st, 2020
A client has been hospitalized following a myocardial infarction. The client has an IV line run-ning with multiple drips. The nurse assesses the client’s medical record to determine the last time the IV tubing was changed, because the nurse knows that the Centers for Disease Control and Prevention (CDC) recommends that IV tubing be changed: […]
Date: September 21st, 2020
When planning care, the nurse should identify which client as needing logrolling for position changes? 1. A client with documented pneumonia 2. The client who has had abdominal surgery 3. The client who fell from a house, sustaining a fractured tibia 4. A client who has a severe headache from hypertensive crisis ANSWER Correct […]
Date: September 21st, 2020
Nurses must use critical thinking in their day-to-day practice, especially in circumstances surrounding client care and wise use of resources. In which of the following situations would critical thinking be most beneficial? 1. Administering IV push meds to critically ill clients 2. Educating a home health client about treatment options 3. Teaching new parents car […]
Date: September 21st, 2020
A female client describes the most elaborate dreams to the nurse. She states that she could see colors, hear music, and even had the sensation of flying. The nurse replies to the client that her dreams indicate that she must be: 1. Depressed 2. Pragmatic 3. Creative 4. Mentally ill ANSWER ANS: 3 Personality […]
Date: September 21st, 2020
A client with chronic pain presents in the emergency department of the local hospital stating “I just can’t take this anymore.” On questioning the client, the nurse discovers that the client have experienced chronic pain since being involved in an accident 2 years previously. The client states that he has been labeled a “drug seeker” […]
Date: September 21st, 2020
The nurse is assessing the musculoskeletal status of a 4-year-old child. What findings should the nurse consider as being expected in this client? 1. Lordosis 2. Genu valgus 3. Genu varum 4. Pronation of the feet 5. Asymmetric leg abduction ANSWER Correct Answer: 1, 2 Rationale 1: Lordosis (swayback) is common in children before […]
Date: September 21st, 2020
The nurse recognizes the following as an appropriate strategy for communicating with clients who are not fluent in English? 1. Speaking in a louder tone of voice 2. Incorporating hand gestures and pictures 3. Responding to the client by his or her first name 4. Interacting with an interpreter for all communication ANSWER ANS: […]
Date: September 21st, 2020
