A nurse is performing a skin assessment on a client who has a dark skin. Which one of the following locations on the client’s body should the nurse observe to access for jaundice? A.Face B.Shoulders C.Palm of the hands D.Sclera The Correct answer and Explanation is: The correct answer is D. Sclera. Explanation: Jaundice is […]

A nurse in a mental health facility is caring for a client who is upset about the loss of privileges due to repetitive negative behavior. Which of the following statements by the nurse demonstrates the effective use of assertive communication?A.“Why did you make the choice to behave negatively?” B.“You need to calm down and forgive

A nurse is preparing to administer magnesium hydroxide 2 tbsp PO. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) The Correct answer and Explanation is: To convert 2 tablespoons (tbsp) of magnesium hydroxide to milliliters

A client with peptic ulcer disease (PUD) is scheduled to receive doses of pantoprazole IV and sucralfate PO before breakfast at 0730. The client reports experiencing heartburn when the nurse brings the scheduled medications. Which action should the nurse take? A.Hold the dose of IV pantoprazole until the client has finished eating breakfast. B.Provide a

A client with peptic ulcer disease (PUD) is admitted to the emergency room complaining of sudden severe upper abdominal pain. Assessment indicates an extremely tender and rigid abdomen, blood pressure 90/60 mmHg, and pulse of 110 beats/minute. Which procedure should the emergency department nurse plan for immediate implementation? A.Nasogastric tube insertion. B.Iced saline lavage. C.Administration

A nurse is providing education to a group of clients about pneumonia. Which statement by a client indicates a correct understanding of the condition?A. “Pneumonia is a viral infection that primarily affects the gastrointestinal system.”B. “Pneumonia is a bacterial infection that targets the joints and muscles.”C. “Pneumonia is an inflammatory lung condition often caused by

A nurse is teaching a client who is lactose intolerant. Which of the following statements regarding lactose intolerance should the nurse include in the teaching plan? A.“You should decrease the proteins in your diet.” B.“You should decrease the dairy products in your diet.” C.“You should increase the calories in your diet.” D.“You should increase the

A client who has a lower-leg cast reports skin irritation around the upper edge of the cast. Which of the following actions should the nurse take? A.Suggest that the client use a blunt object such as a comb to relieve the itch. B.Petal the edges of the cast. C.Tell the client to apply lotion to

A nurse assesses an audible grating sound (crepitus) when a client with osteoarthritis moves his knees. What is the cause of this sound? A.Popping bursae from standing B.A herniated disk in the diseased joint C.Pieces of bone and cartilage floating D.Years of an autoimmune process The Correct answer and Explanation is: The correct answer is

A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse take? A Hold the container of solution 30 cm (12 in) above the anus.B Hold the container of solution 15 cm (6 in) above the anus, then lower it 15 cm below the anus.C Hold