A nurse is assessing a client’s body temperature using a temporal artery thermometer. How should the nurse use the temporal artery thermometer? A.Insert the thermometer into the rectum for accurate measurement. B.Place the thermometer in the client’s axilla and secure with a towel. C.Swipe the thermometer gently across the client’s forehead. D.Hold the thermometer under […]

An infant, born yesterday and initially weighing 7.5 lbs (3,402 grams), weighs 7 lbs (3,175 grams) today. What action should the nurse take?A.Encourage the mother to breastfeed more frequently. B.Monitor the neonate’s stool and urine output for the last 24 hours. C.Reassure the mother that this is a normal weight loss. D.After verifying the weight’s

A client experiencing severe upper abdominal pain and nausea asks the nurse about the possible cause. What should the nurse suspect as a potential underlying condition?A Gastroesophageal Reflux Disease (GERD)B Peptic Ulcer Disease (PUD)C PancreatitisD Gastritis The correct answer and Explanation is : The correct answer is C. Pancreatitis. Pancreatitis is an inflammation of the

The nurse is caring for a senior adult client with three diagnoses of Parkinson’s disease and an exacerbation of COPD. The nurse observes the unlicensed assistant personnel (UAP) providing morning care and obtaining vital signs by using a portable electronic blood pressure cuff and clip-on pulse oximetry sensor. Nurse’s Notes: Vital Sign # 0715: Client

A client’s telemetry monitor indicates ventricular fibrillation (VF). Which action should the nurse implement immediately? A.Defibrillate with one shock. B.Prepare for external pacing. C.Administer atropine IV. D.Give a dose of amiodarone IV. The correct answer and Explanation is : Correct Answer: A. Defibrillate with one shock. Explanation: Ventricular fibrillation (VF) is a life-threatening cardiac rhythm

Please identify the following heart rhythm: A.Atrial Flutter B.Ventricular Tachycardia C.Atrial Fibrillation D.Ventricular Fibrillation The Correct Answer and Explanation is: To accurately identify the heart rhythm from the given options, let’s analyze each one based on their characteristics: A. Atrial Flutter Atrial flutter is characterized by rapid, regular atrial contractions (typically around 240-340 beats per

A nurse is teaching a client who has a new prescription for colchicine to treat gout. Which of the following instructions should the nurse include? A.“Take this medication with food if nausea develops.” B.“Monitor for muscle pain.” C.“Expect to have increased bruising.” D.“Increase your intake of grapefruit juice.” The correct answer and Explanation is :

A nurse is performing a blood pressure screening for a client who has a family history of hypertension.Which of the following concepts is the nurse demonstrating?A.Health education. B.Health promotion. C.Holistic health. D.Disease prevention. The Correct Answer and Explanation is: The correct answer is B. Health promotion. Explanation: Health promotion encompasses a variety of activities and

A nurse is conducting a hypertension risk assessment for a client. Which question is most relevant in identifying a modifiable risk factor? A.“Do you have a family history of hypertension?” B.“What is your age?” C.“Do you engage in regular physical activity?” D.“What is your ethnicity?” The Correct Answer and Explanation is: The correct answer is

A nurse is conducting Weber’s test on a client. Which of the following is an appropriate action for the nurse to take? A.Deliver a series of high-pitched sounds at random intervals. B.Hold an activated tuning fork against the client’s mastoid process. C.Place an activated tuning fork in the middle of the client’s forehead. D.Whisper a