A nurse is providing first aid to a client who has been involved in a car accident. The nurse should perform a primary assessment to check for which of the following conditions? A. Fractures or dislocationsB. Head or spinal injuriesC. Severe bleeding or shockD. Burns or wounds The Correct Answer and Explanation is: The correct […]

A nurse is planning care for a client who requires close observation. Which of the following rights should the nurse identify that the client has forfeited due to the potential for safety hazards? A.The right to parity B.The right to make informed decisions C.The right to social contact D.The right to privacy The Correct Answer

The parents of a child with acute lymphoblastic leukemia (ALL) are learning to care for their child at home. Which statement made by the parents should the nurse recognize as correct monitoring for early signs of an infection in the child? A.Reassess axillary temperature if it is higher than 99.7° F (37.6° C). B.Verify if

After falling down the basement steps, a client is brought to the emergency room. X-rays confirms that the client’s right leg is fractured. Following application of a leg cast, which assessment finding warrants immediate intervention by the nurse? A.Increased temperature to lower extremity. B.Right foot pale with sluggish capillary refill. C.Circumferential edema of right foot.

A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client’s perineal pad. Which of the following actions should the nurse take first? A.Request the provider perform a vaginal examination. B.Check the client’s fundus. C.Measure the client’s vital signs. D.Feel for a full

A nurse is educating a group of patients about Polycystic Ovary Syndrome (PCOS).Which statement by the nurse accurately describes a risk factor for PCOS?A “PCOS is primarily caused by a single genetic factor.”B “Having a family history of PCOS does not increase your risk.”C “A sedentary lifestyle is not a risk factor for PCOS.”D “Elevated

A nurse is reviewing the medical history of a client who is scheduled for surgery.Which of the following findings places the client at risk for an incisional hematoma?A.The client has peripheral vascular disease. B.The client has urinary incontinence. C.The client takes anticoagulant medications. D.The client is underweight. The Correct Answer and Explanation is: The correct

Your patient is ordered a loop diuretic at 1000. Which finding below would require you to hold the dose and notify the physician for further orders? A.Sodium level 144 B.Potassium level 1.5 mEq/L C.Blood pressure 102/78 D.Calcium level 9 mg/L The Correct Answer and Explanation is: Correct Answer: B. Potassium level 1.5 mEq/L Explanation: Loop

When assessing the client’s bowel elimination, the nurse understands that which is not a factor? A.Age. B.Diet. C.Fluid intake. D.Gender. The Correct Answer and Explanation is: The correct answer is D. Gender. Explanation: When assessing a client’s bowel elimination, several factors can influence bowel patterns and function. These factors include age, diet, and fluid intake,

A nurse is planning to use therapeutic touch as an energy therapy for a client who has anxiety. The nurse should perform which of the following actions when using therapeutic touch? (Select all that apply.) A.Obtain informed consent from the client B.Place the hands on or near the client’s body C.Assess the client’s energy field