A client who follows Mormon beliefs is on a clear liquid diet following abdominal surgery. Which menu items should the nurse request for this client? Select all that apply. A.Orange juice. B.Hot chocolate. C.Apple juice. D.Chicken broth. The Correct answer and Explanation is: For a client who follows Mormon beliefs and is on a clear […]
A nurse is caring for a newborn who has exstrophy of the bladder.Which of the following actions should the nurse take prior to the beginning of surgical correction? A.Restrict the newborn’s fluid intake. B.Keep the newborn in a side-lying position. C.Cover the newborn’s bladder with a sterile, non-adherent dressing. D.Exert gentle pressure on the newborn’s
A nurse is caring for a newborn who has exstrophy of the bladder. Read More »
A nurse is planning care for a client with hypocalcemia. Which of the following interventions should the nurse include in the plan? A.Administer calcium supplements orally or IV. B.Monitor the client for signs of tetany and seizures. C.Provide a high-phosphorus diet. D.Avoid stimulating the facial nerve. The Correct answer and Explanation is: The correct answer
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A nurse is collecting a sputum specimen from a client for culture and sensitivity. Which of the following actions should the nurse take? A.Collect 2 ml of sputum in an emesis basin B.Instruct the client to rinse with an antiseptic mouthwash prior to specimen collection C.Swab the oropharynx with a sterile swab D.Refrigerate the specimen
A nurse is collecting a sputum specimen from a client for culture and sensitivity. Read More »
A client with foul-smelling drainage from an incision on the upper left arm is admitted with a suspected methicillin-resistant Staphylococcus aureus (MRSA). Which nursing intervention(s) should the nurse include in the plan of care? (Select all that apply.) A.Use standard precautions and wear a mask. B.Monitor the client’s white blood cell count. C.Institute contact precautions
A nurse is providing change-of-shift report for an oncoming nurse. Which of the following information should the nurse include in the report? A.“The client is the president of a local bank,” B.“The client’s partner came to visit him 2 hours ago.” C.“The client has routine vital signs prescribed.” D.“The client is in the radiology department
A nurse is providing change-of-shift report for an oncoming nurse. Read More »
Four days following an abdominal aortic aneurysm repair, the client is exhibiting edema of both lower extremities, and pedal pulses are not palpable. Which action should the nurse implement first? A Elevate extremities on pillows.B Evaluate edema for pitting.C Wrap the feet with warmed blankets.D Assess pulses with a vascular Doppler The Correct answer and
“The skies are clear, and I predict no rain in the __ future,” the weather reporter announced.Which word is best suited to fill the underlined gap? A.Forseeible B.Forseeable C.Foreseeable D.Foreseable The Correct answer and Explanation is: The correct answer is C. Foreseeable. Explanation: In this sentence, the weather reporter’s prediction about rain is related to
A nurse weighed a client who is following a weight-loss plan. The scale shows that the client weighs 91 kg. What is the client’s weight in lb? (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
A nurse is giving change-of-shift report using the SBAR technique about a client who has a traumatic brain injury. When reporting information about the client, which of the following should the nurse include in the situation segment of SBAR? A.Glasgow coma scale result B.History of the injury C.Medication during the next shift D.Intracranial pressure readings