Which of the following statements best describes the primary function of the immune system?A.The immune system is responsible for regulating body temperature and blood pressure. B.The immune system is involved in digestion and absorption of nutrients from food. C.The immune system is responsible for recognizing and defending against foreign invaders, such as pathogens and toxins. […]
Which statement is true regarding nursing diagnoses? A.North American Nursing Diagnosis Association (NANDA) revises the diagnostic labels every 5 years. B.A nursing diagnosis describes a health problem amenable to intervention. C.Medical diagnosis is included in the nursing diagnosis. D.LPNs/LVNs formulate nursing diagnoses. The correct answer and Explanation is : The correct answer is: B. A
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The nurse attaches a pulse oximeter to a client’s finger and obtains an oxygen saturation reading of 91%. Which assessment finding most likely contributes to this reading? A.Blood pressure is 142/88 mm Hg. B.Radial pulse volume is 3+. C.2+ edema of fingers and hands. D.Capillary refill time is 2 seconds. The correct answer and Explanation
The primary nurse asks another nurse to assist in checking a client for an apical-radial pulse deficit. One nurse counts an apical pulse of 72 beats/minute while the other nurse counts a radial pulse of 88 beats/minute. Which action should the primary nurse take? A Check the reading after the other nurse leaves the room.B
The nurse recognizes ten “rights” associated with giving medications to clients. Which are Included in this group? (SELECT ALL THAT APPLY)A.Room number B.Prescriber C.Documentation D.Dose E.Assessment The correct answer and Explanation is : The ten “rights” of medication administration are essential guidelines to ensure patient safety and effective care. Here are the correct options from
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A nurse is teaching pursed-lip breathing to a client who has COPD. Which of the following instructions should the nurse include in the teaching? A.“Lie down while practicing pursed-lip breathing.”. B.“Exhale slowly through your mouth.”. C.“Inhale through pursed lips.”. D.“Puff your cheeks when exhaling.”. The correct answer and Explanation is : The correct answer is
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A nurse is caring for a newborn shortly after birth and places the newborn under a radiant warmer. Which of the following potential complications does this action help to prevent? A.Cold stress B.Thermogenesis C.Shivering D.Brown fat production The correct answer and Explanation is : The correct answer is A. Cold stress. Explanation: Immediately after birth,
A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect? A.Dehydration. B.Bradycardia. C.Polyphagia. D.Hyperglycemia. The correct answer and Explanation is : The correct answer is A. Dehydration. Explanation: Diabetes insipidus (DI) is a condition characterized by the body’s inability to concentrate urine due to a deficiency
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A nurse is reviewing the medical records of four clients. The nurse should identify that which of the following client findings requires follow-up care? A.A client who received a Mantoux test 48 hr ago and has an induration. B.A client who is scheduled for a colonoscopy and is taking sodium phosphate. C.A client who is
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The nurse is caring for a child with suspected diabetes insipidus. Which clinical manifestation would be observable? A.Oliguria B.Glycosuria C.Nausea and vomiting D.Polydipsia The correct answer and Explanation is : The correct answer is D. Polydipsia. Explanation: Diabetes insipidus (DI) is characterized by an imbalance of fluids in the body due to a deficiency of
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