The nurse is providing range-of-motion exercising to the client’s elbow when the client complains of pain. What action should the nurse take? 1. Stop immediately and report the pain to the client’s physician. 2. Discontinue the treatment and document the results in the medical record. 3. Reduce the movement of the joint just until the […]
The nurse recognizes that a client recovering from anesthesia required for surgical repair of a fractured ulna is likely to experience difficulty urinating primarily because of: 1. The impaired cognitive state the client will experience as the effects of the anes-thesia wear off 2. The decreased volume of orally ingested fluids before, during, and after […]
While reviewing a medication order, the nurse determines that it is written using the metric system. What did the nurse observe to come to this conclusion about the medication order? 1. Number of ounces 2. Number of drams of the solution 3. Number of milligrams of the medication 4. Number of grains of the medication […]
To increase the tone and sensation of the pelvic floor for a female client, the nurse teaches: 1. Kegel exercises 2. Vaginal dilation 3. Stop-start techniques 4. Sensate focus exercises ANSWER ANS: 1 Kegel exercises increase the tone and sensation of the pelvic floor (pubococcygeus muscle) for the female client. Vaginal dilation will not […]
The nurse works with elderly clients in a wellness screening clinic on a weekly basis. Which of the following statements made by the nurse is the most therapeutic regarding their mobility? 1. “Your shoulder pain is normal for your age.” 2. “Continue to exercise your joints regularly to your tolerance level.” 3. “Why don’t you […]
The nurse is aware that an ethics committee in a health care facility serves to: 1. Interview all persons involved in a case 2. Illustrate circumstances that demonstrate malpractice 3. Serve as a resource for specific situations that may occur 4. Examine similar previous instances for comparison of outcome decisions ANSWER ANS: 3 Ethics […]
The nurse expects to observe which of the following assessment findings in a client diagnosed with left-sided heart failure? (Select all that apply.) 1. Ankle edema 2. Bilateral crackles 3. Mental confusion 4. Distended neck veins 5. Activity-induced dyspnea 6. Being awakened by shortness of breath ANSWER ANS: 2, 3, 5, 6 Clinical findings […]
In reviewing the results of the client’s blood work, the nurse recognizes that the unexpected val-ue that should be reported to the health care provider is: 1. Calcium 3.9 mEq/L 2. Sodium 140 mEq/L 3. Potassium 3.5 mEq/L 4. Magnesium 2.1 mEq/L ANSWER ANS: 1 A calcium level of 3.9 mEq/L should be reported […]
When documenting notification of the primary health care provider concerning a client whose condition is deteriorating, the nurse must be sure to include which of the following? (Select all that apply.) 1. Client’s wife at bedside. 2. Client rating pain at 3 out of 10 at 0920. 3. Client asking to have wife called to […]
Passive range-of-motion exercises are most important for which of the following clients? 1. Pediatric client with a broken femur 2. Diabetic client with a total knee replacement 3. Unconscious client in ICU 4. Elderly client with a bowel obstruction ANSWER ANS: 3 The nurse should perform passive range of motion exercises with this client […]
