The nurse is working on a respiratory care unit in the hospital. Upon entering the room of a client with emphysema, it is noted that the client is experiencing respiratory distress. The nurse should: 1. Instruct the client to breathe rapidly 2. Provide 20% oxygen at 2 L/min via nasal cannula 3. Place the client […]
Date: September 27th, 2020
The elementary school nurse is responsible for evaluating each child’s overall physical develop-ment. During the school-age years, the nurse anticipates that: 1. The child’s body weight will almost triple 2. There will be few physical differences among children 3. The child will grow an average of 1 to 2 inches per year 4. Body fat […]
Date: September 27th, 2020
Which of the following clients presents with an increased risk for urinary incontinence? (Select all that apply.) 1. The 74-year-old diagnosed with parkinsonism 5 years ago 2. The 25-year-old with Crohn’s disease diagnosed 4 years ago 3. The 62-year-old Alzheimer’s disease client diagnosed 8 years ago 4. The 34-year-old mother of two diagnosed with multiple […]
Date: September 27th, 2020
The nurse enters a client’s room and finds her crying softly. The most therapeutic statement the nurse can make at this time is to ask: 1. “Are you alright?” 2. “Why are you crying?” 3. “What can I do to help you?” 4. “Is being hospitalized upsetting you?” ANSWER ANS: 2 Sounds have several […]
Date: September 27th, 2020
Which of the following statements made by ancillary staff reflects the most informed knowledge regarding the benefit of having a client assist with his or her own activities of daily living (ADLs) to that client’s activity tolerance? 1. “The more he does for himself, the more he will be able to do for himself.” 2. […]
Date: September 27th, 2020
A group of nurses are working to open a clinic that focuses on health promotion. Which of the following is an example of a health promotion activity? 1. Teaching biofeedback techniques for stress reduction 2. Providing immunization clinics 3. Evaluating regional industrial centers for environmental pollution 4. Teaching smoking cessation classes to adolescents ANSWER […]
Date: September 27th, 2020
A false high blood pressure reading may be assessed, as the nurse explains to the nurse assistant, if the assistant: 1. Wraps the cuff too loosely around the arm 2. Deflates the blood pressure cuff too quickly 3. Repeats the blood pressure assessment too soon 4. Presses the stethoscope too firmly in the antecubital fossa […]
Date: September 27th, 2020
The student nurse reads the order to give a 1-year-old client an intramuscular injection. The ap-propriate and preferred muscle to select for a child is the: 1. Deltoid 2. Dorsogluteal 3. Ventrogluteal 4. Vastus lateralis ANSWER ANS: 3 Research that has investigated complications associated with IM injection sites indicates that the ventrogluteal site is […]
Date: September 27th, 2020
While the nurse is performing morning care, a client begins to have a seizure. What should the nurse do to help this client? 1. Insert a tongue blade into the client’s mouth. 2. Loosen any clothing around the neck and chest. 3. Restrain the client. 4. Turn the client to the supine position if possible. […]
Date: September 27th, 2020
An ER nurse is interviewing a client who complains of abdominal pain. Which of the following questions asked by the nurse has priority at this time? 1. “Can you describe your pain?” 2. “Have you had this problem before?” 3. “What have you done to ease the pain?” 4. “When did your abdominal pain begin?” […]
Date: September 27th, 2020
