A recommended position for a patient in acute pulmonary edema is: A.Recovery position, lateral with the upper leg flexed and forward, and the upper hand across the chest with the back of the hand supporting the cheek. B.Prone position, to encourage maximum rest, thus decreasing respiratory and cardiac rates. C.Sitting up position (45 degrees or […]

A nurse is explaining the Chain of Survival to a client. Which component represents the second link in the Chain of Survival for Cardiopulmonary Resuscitation (CPR)?A.“The second link in the Chain of Survival is the immediate initiation of bystander CPR.” B.“The second link in the Chain of Survival is the early arrival of advanced medical

The nurse has completed a peripheral vascular assessment on a client. Which of the following would the nurse document as expected findings? A.Capillary refill <5 seconds. B.Radial pulses 2+ with regular rate and rhythm bilaterally. C.Feet pale and cool to the touch. D.Right ankle 1+ edema with no perceptible swelling of the leg. The Correct

A nurse is assisting with teaching a client about water-soluble vitamins. Which of the following vitamins should the nurse include? A.Vitamin D B.Vitamin C C.Vitamin E D.Vitamin A The Correct answer and Explanation is: The correct answer is B. Vitamin C. Water-soluble vitamins are essential nutrients that dissolve in water and are not stored in

A nurse is caring for a client who has a prescription for balanced skeletal traction with a Thomas splint for the treatment of a fractured femur. Which of the following interventions should the nurse implement to prevent pressure points from developing around the edges of the splint? A.Remove the weights for a few minutes each

A nurse is preparing a sterile field to assist with suturing a client’s laceration. Which of the following actions should the nurse perform? A.Pour the sterile solution with the bottle held 20 cm (8 in) above the sterile bowl. B.Apply sterile gloves before opening the bottle of sterile solution. C.Place the lid of the sterile

A nurse overhears two assistive personnel (AP) in the nurses’ station discussing a client who was recently admitted. Which of the following actions should the nurse take? A.Tell the APS to stop the conversation. B.Document the event in the client’s progress notes. C.Inform the client of the AP’s actions. D.Submit an incident report to the

The nurse is teaching a client how to do active range of motion (ROM) exercises.To exercise the hinge joints, which action should the nurse instruct the client to perform? A.Tap the feet forwards and backwards. B.Bend the arm by flexing the ulna to the humerus. C.Turn the head to the right and left. D.Extend the

A nurse is collecting data from a female client during an initial health assessment. Which of the following findings should the nurse identify as a risk factor for osteoporosis? A.Applies an estrogen vaginal cream daily B.Includes canned sardines in her diet C.Walks 30 min per day D.Uses a beclomethasone inhaler The Correct answer and Explanation

A client with acute renal injury (AKI) weighs 110.3 pounds (50 kg) and has a potassium level of 6.7 mEq/L (6.7 mmol/L) is admitted to the hospital. Which prescribed medication should the nurse administer first? Reference Range: Potassium [3.5 to 5 mEq/L (3.5 to 5 mmol/L)] A Sodium polystyrene sulfonate 15 grams by mouth.B Sevelamer