The nurse is delegating activities regarding fecal elimination to unlicensed assistive personnel (UAP). Which activity can UAP safely perform to meet a client’s fecal elimination needs? 1. Provide a fracture pan to a client on bed rest. 2. Provide a client who has a fecal impaction and prolapsed rectum with a cleansing enema. 3. Change […]
During the assessment of a client recovering from surgery, the nurse notes decreased breath sounds in both lower lobes bilaterally. What should the nurse do? 1. Coach the client to deep-breathe and cough. 2. Restrict fluids. 3. Remind the client to perform leg exercises. 4. Maintain on bed rest. ANSWER Correct Answer: 1 Rationale […]
The expected appearance of the oral mucosa in a light-skinned adult is: 1. Pinkish-red, smooth, and moist 2. Light pink, rough, and dry 3. Cyanotic, with rough nodules 4. Deep red, with rough edges ANSWER ANS: 1 Normal mucosa in a light-skinned adult is glistening, pinkish-red, soft, moist, and smooth. Oral mucosa may appear […]
A nursing student is able to continue studies while visiting abroad. This student’s nursing program has implemented which of the following to make this possible? 1. Classroom technology 2. Distance learning 3. CAI 4. Informatics ANSWER Correct Answer: 2 Rationale 1: Classroom technology is just one piece of distance learning. Rationale 2: Distance learning […]
A 47-year-old male client has come in to his primary health care provider’s office for his annual checkup. The client shares with the nurse that his wife thinks he is suffering from hearing loss. Which of the following responses by the nurse would be most appropriate? 1. “You are approaching an age when it is […]
Which of the following statements reflects a nurse’s need for further instructions regarding an incident report? 1. “I hope this incident report will help determine a way to help prevent falls.” 2. “Risk management will want to review the incident report on the client’s fall.” 3. “I put the incident report on the client’s fall […]
The nurse should recognize which of the following clients as being at greatest risk for an uninten-tional death? 1. A 58-year-old who skis regularly 2. A 44-year-old alcoholic who lives alone 3. A 72-year-old identified as at high risk for falls 4. A 34-year-old diagnosed with chronic depression ANSWER ANS: 3 Among older adults […]
The nurse and a mother of two small children are discussing child safety issues. Which of the following nursing interventions has the greatest potential for using collaboration to help ensure the children’s safety? 1. Arranging to teach the children how to react in the case of a fire in the home 2. Teaching the children […]
A 73-year-old client shares with the nurse that she feels so useless, especially now that arthritis makes her life-long hobby of hand sewing so painful as to make it almost impossible. Which of the following nursing responses is most therapeutic given the client’s current poor self-esteem image? 1. “What is it about sewing that makes […]
A client with coronary heart disease has been meeting with a cardiac rehabilitation nurse for the past 5 weeks. The nurse has provided the client with interventions to increase the client’s activity level. The client states that they don’t know if the exercise program is helping. The nurse can assess the effectiveness of the interventions […]
