A nurse is performing a mobility assessment on a client.Which of the following actions should the nurse take first?A.Ask the client to place their feet on the floor. B.Ask the client to sit on the edge of the bed for 2 min. C.Ask the client to stand for 5 seconds. D.Ask the client to march […]

A client has decreased mobility.What nursing intervention would be inappropriate to promote mobility? A.Teach the client to do active range of motion (AROM) exercises every 2 hours. B.Evaluate the client’s need for ambulatory aids. C.Keep skin clean and dry. D.Encourage bed rest. The correct answer and Explanation is : The inappropriate nursing intervention to promote

The nurse is evaluating a client who had a cardiac catheterization with a left antecubital insertion site. Which of the following pulses should the nurse palpate? A.Radial pulse in the left arm B.Radial pulse in the right arm C.Brachial pulse in the left arm D.Brachial pulse in the right arm The Correct Answer and Explanation

The nurse is assessing a client with hypocalcemia.What clinical manifestation would the nurse expect to note in this client? A.Positive Trousseau’s sign. B.Hyperactive deep tendon reflexes. C.Hyperactive bowel sounds. D.Muscle twitching. The correct answer and Explanation is : The correct answer is: A. Positive Trousseau’s sign. Explanation: Hypocalcemia, or low calcium levels in the blood,

The client is going to be started on cholestyramine (Questran), 6 mg three times daily.What instruction should the nurse provide to this client? A.Take with food. B.Take without food C.Take in the morning D.Take with large amounts of fluid. The Correct Answer and Explanation is: The correct answer is D. Take with large amounts of

A nurse is assessing a client who has hypocalcemia. Which of the following findings should the nurse expect? (Select all that apply.) A.Tingling sensation around the lips B.Abdominal distention C.Positive Trousseau’s sign D.Negative Chvostek’s sign E.Muscle cramps The correct answer and Explanation is : The nurse assessing a client with hypocalcemia should expect the following

The nurse plans to administer the adult client’s prescriptions which are metoprolol, hydrochlorothiazide, enoxaparin and atorvastatin. The current laboratory values are; Serum potassium 5.2 mmol/L, Platelet Count 98,000/mm, Serum cholesterol 250 mg/dL and Serum Creatinine 1.2 mg/dL.Which medication should the nurse hold and notify the prescriber? A.Metoprolol. B.Hydrochlorothiazide. C.Enoxaparin. D.Atorvastatin. The correct answer and Explanation

A nurse is caring for a client who has a fluid imbalance due to excessive vomiting. The nurse should monitor the client for which of the following electrolyte imbalances? A. Hyponatremia.B. Hyperkalemia.C. Hypercalcemia.D. Hypomagnesemia The Correct Answer and Explanation is: The correct answer is A. Hyponatremia. Explanation: Excessive vomiting can lead to several fluid and

A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions? A.Encourage coughing and deep breathing B.Encourage regular use of the incentive spirometer C.Encourage the client to increase fluid intake D.Encourage the client to ambulate frequently The Correct Answer and Explanation

A nurse is assessing a 3-year-old child who has aortic stenosis. Which of the following findings should the nurse expect? (Select all that apply.) A.Bradycardia B.Murmur C.Clubbing of the nail beds D.Weak pulses E.Hypotension The correct answer and Explanation is : The correct answers are B. Murmur, D. Weak pulses, and E. Hypotension. Explanation: Aortic