A nurse is assessing a client with a pressure ulcer on the sacrum. Which of the following factors would increase the risk of infection in the wound? A The presence of necrotic tissueB The use of hydrocolloid dressingC The frequency of wound irrigationD The application of topical antibiotics The Correct answer and Explanation is: The […]

The client has a documented stage II pressure ulcer on the right hip. What NANDA nursing diagnosis problem statement is most appropriate to use with this client? A.Risk for Injury B.Altered Tissue Perfusion C.Impaired Tissue Integrity D.Impaired Skin Integrity The Correct answer and Explanation is: The most appropriate NANDA nursing diagnosis problem statement for a

A client is admitted with diabetic ketoacidosis (DKA).The nurse should anticipate administering which of the following intravenous fluids (Select all that apply). A.0.45% sodium chloride solution. B.0.9% sodium chloride solution. C.5% dextrose in water solution. D.Lactated Ringer’s solution. E.Regular insulin infusion. The Correct answer and Explanation is: In the case of a client admitted with

A client is admitted with Diabetic Ketoacidosis (DKA). The client asks the nurse “Why did this happen? I have been taking my insulin as prescribed and following my diet carefully” The nurse reviews the client’s chart and realizes that this emergency may be related to which common causes of DKA? A.Client is taking Ibuprofen and

Which of the following sentences is the most formal in style? A.I want to gain experience with your company, so I’m applying to be an intern. B.I’m applying to be an intern to gain experience with your company. C.I’d like to apply for this internship in order to gain experience as a part of your

A nurse is serving on a state task force for disaster planning. The nurse is engaging in disaster preparedness efforts when performing which of the following actions? A.Implementing a disaster triage plan with a local medical facility B.Organizing a mass casualty drill for community members C.Assisting with the identification of a biological agent D.Functioning as

A nurse is developing health promotion strategies for older adult clients at an assisted living facility.Which of the following strategies is the priority for the nurse to include? A.Providing the clients with a low-fat diet. B.Scheduling annual dental examinations for the clients. C.Immunizing the clients against influenza. D.Encouraging the clients to exercise regularly. The Correct

A nurse is caring for a client who is at risk for a pressure injury. Which of the following actions should the nurse take? A.Reposition the client every 2 hr. B.Elevate the head of the client’s bed 45° C.Massage the client’s bony prominences. D.Provide the client with a high-calorie diet. The correct answer and Explanation

A client with a chest tube wishes to ambulate to the bathroom. What is the appropriate nursing response? A.‘It is unnecessary for you to go to the restroom at this time.” B.‘I can assist you to the bathroom and back to bed.” C.‘I cannot assist you at this time, please wait until I finish what

The nurse is caring for a client with diagnosis of peptic ulcer disease. Which assessment finding indicates to the nurse that the client most likely has an ulcer in the stomach rather than the duodenum? A.The client’s stool is positive for occult blood. B.The client reports abdominal discomfort an hour after each meal. C.The client