The nurse is caring for a client who is using morphine through patient-controlled analgesia (PCA). What medication should the nurse have readily available? 1. Naloxone hydrochloride (Narcan) 2. Acetaminophen (Tylenol) 3. Diphenhydramine hydrochloride (Benadryl) 4. Normal saline ANSWER Correct Answer: 1 Rationale 1: Narcan is an opioid antagonist and should be readily available when […]
The nurse is discussing the importance of human touch with the family of a comatose client. The daughter states “I love my mother but I find it so hard to touch her when she’s like this.” Which of the following nursing statements reflects the most therapeutic response? 1. “Maybe it will get easier each time […]
The client has a history of recurrent transient ischemic attack (TIA). Based upon this history the nurse should be most concerned about the client’s potential to develop 1. renal failure. 2. gangrene. 3. myocardial infarction. 4. stroke. ANSWER Correct Answer: 4 Rationale 1: Renal failure would result from atherosclerotic changes in the renal artery. […]
For a lifestyle stress indicator and reduction in the incidence of heart disease a recommended in-tervention would be: 1. Regular physical exercise 2. Attendance at a support group 3. Self-awareness skill development 4. Effective time management techniques ANSWER ANS: 1 A regular exercise program reduces tension, promotes relaxation, increases one’s resistance to stress, and […]
A client tells the nurse that at home, the dog helps distract the client from chronic hip pain. The nurse realizes that the client is utilizing which form of nonpharmacologic pain control? 1. Body 2. Mind 3. Social interactions 4. Spirit ANSWER Correct Answer: 3 Rationale 1: Interventions that target the body for pain […]
In a nursing home an elderly client drops his burning cigarette in a trash can and starts a fire. The most appropriate type of fire extinguisher for the nurse to use is the: 1. Type A 2. Type B 3. Type C 4. Type D ANSWER ANS: 1 Type A fire extinguishers are used […]
The nurse knows that the client who smokes is how much more likely to develop lung cancer than a nonsmoker? 1. Twice 2. Three times 3. Five times 4. Ten times ANSWER ANS: 4 According to the American Cancer Society, the risk for lung cancer is 10 times greater for a per-son who smokes […]
The nurse encourages a non–insulin-dependent diabetic client to engage in a regular exercise pro-gram primarily because to do so will most likely improve the client’s: 1. Gastric motility, thus affecting glucose digestion 2. Respiratory recovery time, thus decreasing breath load 3. Average cardiac output, thus decreasing resting heart rate 4. Use of glucose and fatty […]
A nursing instructor shows an understanding of the ways computers can enhance student learning when: 1. Allowing students to research a nursing topic either by going to the library or via an online literature search. 2. Requiring a student to remediate after a failed test by completing appropriate computer-assisted instruction modules. 3. Using PowerPoint slides […]
The primary reason the nurse asks for help when changing a client’s complicated dressing is to: 1. Foster efficient client-oriented interventions 2. Facilitate a comfortable, safe dressing change 3. Minimize the amount of time spent on a specific task 4. Engage in collaborative learning with other health care professionals ANSWER ANS: 2 A nurse […]
