A client is to undergo an invasive procedure by a physician. The client is questioning some of the terminology in the consent form. Which of the following is the appropriate response by the nurse? 1. “Just sign the form, and I’ll make sure your physician talks to you before he begins the procedure.” 2. “I’ll […]
Date: September 27th, 2020
Which one of the following statements is correct regarding the preadolescence developmental stage? 1. It appears 2 years earlier in boys than in girls. 2. Intimate feelings are confided in the parents. 3. Interest in the opposite sex is not a factor for this group. 4. It signals the development of secondary sex characteristics. […]
Date: September 27th, 2020
All of the following clients are experiencing increased respiratory secretions and require interven-tion to assist in their removal. Chest percussion is indicated and appropriate for the client experi-encing: 1. Thrombocytopenia 2. Cystic fibrosis 3. Osteoporosis 4. Spinal fracture ANSWER ANS: 2 Chest percussion is indicated and appropriate for the client with cystic fibrosis to […]
Date: September 27th, 2020
The nurse delegates the hygienic care of a male client to the nursing assistant. In reviewing the client assignment, the nurse instructs the assistant to make sure to use an electric razor to shave the client with: 1. Thrombocytopenia 2. Congestive heart failure 3. Osteoarthritis 4. Pneumonia ANSWER ANS: 1 Clients prone to bleeding, […]
Date: September 27th, 2020
Which of the following health history and physical assessment findings place an elderly client admitted for abdominal pain at risk for infection? (Select all that apply.) 1. Redness at the IV site 2. Productive yellow cough 3. Foley catheter placement 4. History of bipolar disorder 5. Oral temperature of 98.8° F 6. Recent radiation for […]
Date: September 27th, 2020
The nurse is completing the preoperative checklist for an adult female client who is scheduled for an operative procedure later in the morning. Which of the following preoperative assessment findings for this client indicates a need to con-tact the surgeon? 1. Hemoglobin (Hgb) 14 g/100 mL 2. Blood urea nitrogen (BUN) 15 mg/100 mL 3. […]
Date: September 27th, 2020
Nurses need to implement appropriate body mechanics in order to prevent injury to themselves and their clients. Which principle of body mechanics should the nurse incorporate into client care? 1. Flex the knees and keep the feet wide apart. 2. Assume a position far enough away from the client. 3. Twist the body in the […]
Date: September 27th, 2020
The client is receiving postural drainage from physical therapy and intermittent breathing treat-ments from respiratory therapy. Which type of care plan would be the ideal method to document interventions for this client? 1. Nursing Kardex 2. Computerized care plan 3. Critical pathway 4. Standardized care plan ANSWER ANS: 3 Critical pathways allow staff from […]
Date: September 27th, 2020
The nurse and a client are discussing the importance of an effective 24-hour sleep cycle. Which of the following responses by the client may be a direct result of an inadequate sleep pattern? (Select all that apply.) 1. Gaining weight 2. Usually feeling cold 3. Always feeling “tired” 4. A heart that beats “really fast” […]
Date: September 27th, 2020
The nurse assigns ancillary personnel the task of giving a client a pre-procedure enema. Which of the following statements made by the personnel requires immediate follow-up by the nurse? 1. “I use all of the soap provided in the kit.” 2. “The soapy water just came right back out.” 3. “An enema is intended to […]
Date: September 27th, 2020
