The nurse is using the CAGE questionnaire as a screening tool for a client who is seeking help because his wife said he had a drinking problem. Which information should the nurse explore in-depth with the client based on this screening tool? A.Cancer screening results, anger, gastritis, daily alcohol intake. B.Consumption, liver enzyme, gastrointestinal complaints, […]

Which client Information indicates the need for the nurse to use the CAGE questionnaire during the admission interview? A.Reports difficulties with short term memory since a traumatic brain injury. B.Medical history includes that the client was recently sexually assaulted. C.Describes self as a social drinker who drinks alcoholic beverages daily. D.Client’s medication history includes the

The nurse is teaching the community about blood pressure. What blood pressure finding by the nurse indicates that no changes in therapy are needed for a client with newly diagnosed hypertension? A.128/76 mm Hg B.128/92 mm Hg C.98/56 mm Hg D.142/78 mm Hg The correct answer and Explanation is : The correct answer is A.

A nurse is collecting data from a newborn. Which of the following anatomical landmarks should the nurse use to measure chest circumference? A.Sternal notch. B.Nipple line. C.Lower ribcage border. D.Axillae. The Correct Answer and Explanation is: The correct answer is B. Nipple line. When measuring the chest circumference of a newborn, the nurse should use

A nurse is collecting data from a client who has been admitted with suspected appendicitis. Which of the following findings is the nurse’s priority to report to the provider? A.Temperature 37.8° C (100° F) B.Loss of appetite C.WBC count 15,000/mm³ D.Rigid, board-like abdomen The correct answer and Explanation is : In the scenario where a

A nurse is reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy. Which of the following instructions should the nurse include in the teaching? A.Place the shoulder harness across the gravid uterus. B.Move the seat as far away as possible from the

The nurse is caring for a client who is one day post op after having abdominal surgery. While auscultating bowel sounds for a full one minute, the nurse hears 3 bowel sounds. The nurse would chart this as bowel sounds. A.hyperactive B.active C.hypoactive D.absent The correct answer and Explanation is : The correct answer is

A nurse is preparing to administer a loading dose of phenytoin 10 mg/kg by IV bolus to a client who weighs 154 lb. Available is phenytoin50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies t use a trailing zero.) The

A nurse is preparing to perform an abdominal assessment on a child. Identify the sequence the nurse should follow. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.) A.Superficial palpation B.Auscultation C.Inspection D.Deep palpation The correct answer and Explanation is : To perform

Dobutamine hydrochloride 2 mcg/kg/min is prescribed for a client weighing 165 pounds. The solution is mixed with 50 mg of dobutamine in 1,000 mL of D5W. The nurse should set the infusion pump to deliver how many mL/hour? (Enter numeric value only.) The Correct Answer and Explanation is: To solve this problem, we need to