Antiembolic stockings (thromboembolic device [TED] hose) are ordered for the client on bed rest following surgery. The nurse explains to the client that the primary purpose for the TEDs is to: 1. Keep the skin warm and dry 2. Prevent abnormal joint flexion 3. Apply external pressure 4. Prevent bleeding ANSWER ANS: 3 The […]
Which of the following questions will provide the nurse with the best understanding of a termi-nally ill client’s spiritual needs? 1. “Do you have a religious preference?” 2. “Have you given thought to your spiritual needs?” 3. “Is there a particular clergy you would like to visit with?” 4. “Are there any spiritual needs you […]
A homeless client is brought into the emergency department with indications of extremely poor nutrition. Arterial blood gas levels are assessed, and the nurse anticipates that this client will demonstrate which of the following results? 1. pH 7.3, PaCO2 38 mm Hg, HCO3 19 mEq/L 2. pH 7.5, PaCO2 34 mm Hg, HCO3 20 mEq/L […]
The Goldmark Report concluded that: 1. Nursing roles and responsibilities required clarification 2. A theory-based curriculum was necessary for accreditation 3. Nursing education programs must be affiliated with universities 4. Increased financial support should be provided for nursing education ANSWER ANS: 4 In 1923 the Goldmark Report identified the need for increased financial support […]
Which of the following nursing notes demonstrates the best evaluation of nursing interventions regarding the care provided? 1. “Pressure ulcer located on left heel has shown improvement.” 2. “Pressure ulcer located on left heel has responded to treatment.” 3. “Pressure ulcer on left heel is no longer producing purulent drainage.” 4. “Pressure ulcer on left […]
The nurse is assisting a client in removing soft contact lenses. Place in order the steps the nurse should take to help this client. 1. Using the pad of the index finger of the other hand, move the lens down to the sclera. 2. Have the client look forward. 3. Apply gloves. 4. Gently pinch […]
When assisting the client who practices Islam or Judaism with meal planning, the nurse knows that both religions share an avoidance of: 1. Alcohol 2. Shellfish 3. Caffeine 4. Pork products ANSWER ANS: 4 Clients who practice Islam or Judaism share an avoidance of pork in their diet. Clients who prac-tice Islam avoid alcohol […]
Which of the following statements made by a client’s family is the most reliable for use in the evaluation of a client’s outcome? 1. “Mom has been eating 90% of all of her meals since she’s been home.” 2. “My daughter is in much less pain now that she is going to physical therapy.” 3. […]
A 20-year-old diagnosed with Crohn’s disease is experiencing severe pain and is requesting the prescribed morphine as often as it can be administered. The nurse is particularly concerned about opioid toxicity because of: 1. The client’s frequent requests for the narcotic 2. The client’s compromised bowel absorption 3. The drug’s seeming inability to control the […]
Upon changing the client’s dressing, the nurse notes that the wound appears to be granulating. An appropriate noncytotoxic cleansing agent selected by the nurse is: 1. Sterile saline 2. Hydrogen peroxide 3. Povidone-iodine (Betadine) 4. Sodium hypochlorite (Dakin’s solution) ANSWER ANS: 1 Pressure ulcers should be cleansed only with wound cleansers that are not […]
