A nurse is preparing to provide change-of-shift report. Using the SBAR communication technique, which of the following client information should the nurse include in the “A” portion of the report? A.The client rates her pain at a 3 on a 0 to 10 pain rating scale B.The client has type 2 diabetes mellitus.” C.The client […]

A nurse is assessing for correct placement of a client’s NG feeding tube prior to administering a bolus feeding. Which of the following actions should the nurse take? A.Insert air in the tube and listen for gurgling sounds in the epigastric area B.Aspirate contents from the tube and verify the pH level C.Review the medical

A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min. maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg. Which

A nurse is preparing to administer an intramuscular injection of penicillin G benzathine to a client who has syphilis. Which of the following actions should the nurse take? A.Use a 25-gauge needle and inject the medication into the deltoid muscle. B.Use a tuberculin syringe and inject the medication into the ventrogluteal muscle. C.Use an insulin

A nurse is assessing a client who has a long arm cast. For which of the following findings should the nurse monitor when assessing for acute compartment syndrome?A.Edema B.Shortness of breath C.Petechiae D.Change in mental status The Correct answer and Explanation is: The correct answer is A. Edema. Explanation: Acute compartment syndrome (ACS) is a

Which activity is most appropriate for developing fine motor skills in the school-age child? A.Drawing. B.Singing. C.Swimming. D.Soccer. The Correct answer and Explanation is: The correct answer is A. Drawing. Drawing is an excellent activity for developing fine motor skills in school-age children. Fine motor skills involve the use of small muscles in the hands

A nurse is assessing a 6-month-old infant’s developmental milestones during a well-child visit. Which action should the nurse prioritize to evaluate gross motor skills?A.Observe the infant’s ability to grasp small objects. B.Assess the infant’s ability to roll from back to stomach. C.Check the infant’s responsiveness to visual stimuli. D.Evaluate the infant’s ability to mimic facial

What is the major extracellular (EC) electrolyte in the body? A.Sodium. B.Potassium. C.Calcium. The Correct answer and Explanation is: The correct answer is A. Sodium. Sodium is the primary extracellular (EC) electrolyte in the human body. It plays a critical role in maintaining fluid balance, transmitting nerve impulses, and facilitating muscle contractions. Understanding sodium’s function

A nurse is educating a newly licensed nurse about ethical principles. Which of the following situations is an example of beneficence?A.A nurse keeps a promise to a client not to tell their family about their diagnosis. B.A nurse provides therapeutic touch by holding a dying patient’s hand. C.A nurse involves a client in making decisions

A nurse is caring for a client who is participating in a research study for an experimental chemotherapy medication. After three treatments, the experimental medication is discontinued due to evidence of rapidly advancing kidney failure. Which of the following ethical principles was demonstrated?A.Veracity. B.Autonomy. C.Nonmaleficence. D.Fidelity. The Correct answer and Explanation is: The correct answer