A nurse is assisting in the care of a client. Nurses’ Notes 2000: The client presents to the emergency department and states, “I have been assaulted.” The client was immediately placed in a treatment room. 2015: “The client states they were out with friends this evening and had “a little too much to drink.” The […]
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In white blood cells, what contributes to phagocytes? A.Lysosomes B.Vacuoles C.Endoplasmic reticulum D.Golgi apparatus The Correct answer and Explanation is: The correct answer is A. Lysosomes. Explanation: Phagocytes, a type of white blood cell, play a crucial role in the immune response by engulfing and digesting pathogens, debris, and dead cells. They are essential for
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A nurse is working on a quality improvement team that is assessing an increase in client falls at the facility. After problem identification, which of the following actions should the nurse plan to take first as part of the quality improvement process? A.Implement a fall prevention plan. B.Review current literature regarding client falls. C.Notify staff
A nurse is administering ferrous sulfate elixir to a client who has iron deficiency anemia.Which of the following actions should the nurse take? A.Dilute the medication with milk. B.Give the medication with a caffeinated beverage. C.Administer the medication through a straw. D.Provide an antacid with the medication. The Correct answer and Explanation is: The correct
Which of the following statements about parenteral drug administration is true? A.Parenteral drug administration delivers drugs directly to the site of action in the liver. B.Parenteral drug administration has a slower onset of action compared to oral administration. C.Parenteral drug administration can reduce systemic side effects. D.Parenteral drug administration is more invasive than other routes
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While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm on the ventilator sounds. Which of the following actions should the nurse take? A.Request insertion of a tracheostomy tube. B.Suction the client’s airway. C.Tighten the tubing connections. D.Look for a leak in the tube’s cuff.
A nurse is reinforcing discharge teaching with a client who has undergone a vein stripping of the right leg. Which of the following instructions should the nurse include in the teaching? A.Maintain bed rest for 48 hr. B.Keep legs in a dependent position. C.Wrap the leg with an elastic bandage. D.Implement a sodium-restricted diet. The
A nurse in the emergency department is monitoring a client who has a cervical spinal cord injury from a fall. The nurse should monitor the client for which of the following complications? (Select all that apply.) A.Weakened gag reflex B.Hyperthermia C.Absence of bowel sounds D.Paralysis E.Polyuria F.Hypotension The Correct answer and Explanation is: In the
Which of the following is an example of a reservoir in the chain of infection? A.Hand hygiene B.Wearing personal protective equipment (PPE) C.Proper disposal of sharps D.A contaminated surface The Correct answer and Explanation is: The correct answer is D. A contaminated surface. In the chain of infection, a reservoir is defined as the natural
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A nurse is teaching a class about the novice-to-expert model for nursing competence to a group of nurses.A nurse who has some experience but still requires clinical support is in which of the following stages of competence?A.Novice. B.Advanced beginner. C.Proficient. D.Competent. The Correct answer and Explanation is: The correct answer is B. Advanced beginner. In