Following surgery, a patient’s central venous pressure (CVP) monitor indicates high pressures. Which action will the nurse anticipate taking? A.Increase the IV fluid infusion rate. B.Administer IV diuretic medications. C.Elevate the head of the patient’s bed to 45 degrees. D.Document the CVP and continue to monitor. The Correct answer and Explanation is: The correct answer […]
The shoulder and hip are examples of ball and socket joints. Briefly describe the structural differences between the two and how this impacts the available motions at each joint. The Correct answer and Explanation is: The shoulder (glenohumeral joint) and hip (acetabulofemoral joint) are both ball-and-socket joints, but they have distinct structural differences that significantly
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A nurse is caring for a toddler who has a fractured right femur and is in Bryant traction. When determining that the traction is appropriately assembled, the nurse should observe which of the following? A.A padded sling is under the knee of the affected leg. B.Skin straps maintain the leg in an extended position. C.Weights
A nurse is caring for a client who is receiving chemotherapy for treatment of ovarian cancer and experiencing nausea. Which of the following actions should the nurse take? A.Instruct the client to restrict food intake prior to treatment. B.Encourage the client to drink a carbonated beverage 1 hr before meals. C.Provide the client with an
The nurse is preparing to assess a client’s oral temperature. The nurse should plan to place the thermometer probe in which area of the client’s mouth? A.Along either upper gum line, adjacent to an incisor. B.Deep in the posterior sublingual pocket. C.In the inferior buccal space on either side of the tongue. D.Superior to the
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What is the largest organ in the human body by surface area? A.Brain B.Heart C.Liver D.Skin The Correct answer and Explanation is: The correct answer is D. Skin. Explanation: The skin is the largest organ in the human body, covering an average surface area of about 1.5 to 2 square meters in adults. It plays
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A wound has a bloodtinged liquid that is dripping from the surgical site. How does the nurse document this finding?A.Purulent exudate B.Serous exudate C.Serosanguineous exudate D.Sanguineous exudate The Correct answer and Explanation is: The correct answer is C. Serosanguineous exudate. Explanation In wound care, it is essential to accurately document the characteristics of any drainage
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A nurse is collecting data from a newborn who is 12 hours old. His respiration rate is 44/min, shallow, with periods of apnea lasting up to 5 seconds. Which of the following actions should the nurse take? A.Activate respiratory arrest procedures. B.Request an order for supplemental oxygen. C.Continue routine monitoring. D.Report the observation to the
A nurse is collecting data from a newborn who is 12 hours old. Read More »
A nurse is assessing an 8-month-old infant for cerebral palsy. Which of the following findings is a manifestation of the condition? A.Can always track an object with eyes B.Needs support with pillow props for sitting C.Uses a pincer grasp to pick up a toy D.Smiles when a parent appears The Correct answer and Explanation is:
A nurse is assessing an 8-month-old infant for cerebral palsy. Read More »
The nurse is checking for edema in the lower extremities of a patient with Congestive heart failure. The nurse will do which of the following when checking for edema. (Select all that apply) A.Grade the edema on a scale of +1 to +4. B.Press the skin over the tibia. C.Have the patient plantar flex their