The nurse is concerned that the client’s midsternal wound is at risk for dehiscence. Which of the following is the best intervention to prevent this complication? 1. Administering antibiotics to prevent infection 2. Using appropriate sterile technique when changing the dressing 3. Keeping sterile towels and extra dressing supplies near the client’s bed 4. Placing […]
The Health Information Portability and Accountability Act (HIPAA), implemented in 2003, may influence nursing research in the area of: 1. The cost of the study 2. Where the study may be published 3. What type of study may be conducted 4. How the data will be obtained and protected ANSWER ANS: 4 HIPAA regulations […]
The nurse knows that a PCA pump would be most appropriate for the client who: 1. Has psychogenic discomfort 2. Is recovering after a total hip replacement 3. Experiences renal dysfunction 4. Recently experienced a cerebrovascular accident (stroke) ANSWER ANS: 2 Patient-controlled analgesia is a safe method for postoperative pain management, such as the […]
The nurse is concerned that an older client has nutritional deficiencies. What did the nurse find when assessing this client’s nails to make this clinical decision? 1. White spots 2. Curved nails 3. Deep purple areas 4. Spoon-shaped nails 5. Bands across the nails ANSWER Correct Answer: 1, 4, 5 Rationale 1: White spots […]
A home health nurse has a weekly visit to a client living in less than desirable cleanliness. The client has a central venous access device and requires weekly infusion therapy. What is the best way for the nurse to protect the client against infection? 1. Have the client wash her hands before the infusion begins. […]
During pretesting for an elective surgery, it is discovered that the older adult client has atrial fi-brillation. The nurse knows that this is a common dysrhythmia in older people and can cause: 1. Fatigue, a fluttering in the chest, or shortness of breath if the ventricular response is rapid 2. Acute loss of pulse and […]
A nurse manager is responsible for scheduling the staff of all units in a critical care hospital. Which of the following programs would work best for computer scheduling? 1. Database 2. Word processing 3. Graphics program 4. Spreadsheet ANSWER Correct Answer: 4 Rationale 1: A database is used to manage detailed information. That is […]
Which of the following statements best reflects the autocratic style of leadership? 1. “Let’s discuss this case study thoroughly and decide on a plan of action as a group.” 2. “I’ll try to pair you in comparable work teams, and let’s evaluate the success of this approach in 2 weeks.” 3. “Everyone knows their work […]
A client, who is receiving chemotherapy on a medical unit due to a recent diagnosis of terminal cancer of the liver, has an in-depth conversation with the nurse. The client says, “This cannot be happening to me.” The nurse identifies that this stage is associated with, according to Kübler-Ross: 1. Anxiety 2. Denial 3. Confrontation […]
The workmen cause an electrical fire when installing a new piece of equipment in the intensive care unit. A client is on a ventilator in the next room. The first action the nurse should take is to: 1. Pull the fire alarm 2. Attempt to extinguish the fire 3. Call the physician to obtain orders […]
