The nurse is instructing a new mother on the method to provide a newly prescribed medication to her 2-month-old infant. What should the nurse include in this teaching? 1. Mix the medication into the baby’s formula. 2. Use a nipple so the baby can suck the medication. 3. Use a syringe or dropper to provide […]
Date: September 27th, 2020
A recently married couple is trying to conceive a child. The husband is a collegiate athlete and his coach forbids sexual activity for 2 days prior to a game. The wife asks the nurse if abstinence before the game is necessary. What is the best response? 1. As long as intercourse is not involved, there […]
Date: September 27th, 2020
The nurse is performing a health assessment and notes a yellow tinge to the sclera of the eye. The nurse should document this as being 1. cyanosis. 2. jaundice. 3. pallor. 4. erythema. ANSWER Correct Answer: 2 Rationale 1: Cyanosis is a bluish color to the skin, mucous membranes, or nails. Rationale 2: Jaundice […]
Date: September 27th, 2020
The nurse makes the decision to look at alternatives for wound care with a client who has a stasis ulcer that has been treated over the past 2 weeks. The nurse was hopeful to see some improvement by this time. This represents which phase of the nursing process? 1. Diagnosis 2. Implementation 3. Evaluation 4. […]
Date: September 27th, 2020
The nurse caring for a client who is receiving closed catheter irrigation instills 950 mL of normal saline irrigant during the shift. There is a total of 1725 mL in the drainage bag. The nurse calcu-lates the client’s urinary output for the shift to be: 1. 775 mL 2. 950 mL 3. 1725 mL 4. […]
Date: September 26th, 2020
The nurse recognizes that which one of the following statements is true with regard to the for-mulation of nursing diagnoses? 1. The diagnosis should identify a “cause and effect” relationship. 2. The diagnosis must remain constant during the client’s hospitalization. 3. The etiology of the diagnosis must be within the scope of the health care […]
Date: September 26th, 2020
In preparing two different medications from two vials, the nurse must: 1. Inject fluid from one vial into the other 2. Uncap the syringe and wipe the needle with an alcohol preparation before insert-ing into either vial 3. Discard the medication from vial number 2 if medication from vial number 1 is pushed into it […]
Date: September 26th, 2020
Which of the following goals concerning client anxiety is the best example of measurability? 1. Client will be less anxious by discharge. 2. Client will appear less anxious by discharge. 3. Client will report anxiety at less than 3 out of 5 by discharge. 4. Client pulse rate and blood pressure will be within normal […]
Date: September 26th, 2020
Which of the following clients have an increased risk for the development of a pressure ulcer? (Select all that apply.) 1. A 35-year-old motorcycle accident victim who has been comatose for 5 months 2. A 75-year-old client with type 2 diabetes with neuropathy in his feet 3. A 64-year-old client experiencing anorexia after hip replacement […]
Date: September 26th, 2020
When discussing the currently expressed concerns about the use of research as the primary source of evidence for evidence based nursing practice, the nurse education includes references to the current practices: 1. When evidence-based practice is done appropriately, the process often becomes cost-prohibitive. 2. The strictly constructed and controlled circumstances of the research environment. 3. […]
Date: September 26th, 2020
