A nurse is caring for a client who has restraints to each extremity. Which of the following assessments should the nurse perform first? A.Peripheral pulses B.Comfort level C.Skin integrity D.Elimination needs The correct answer and Explanation is : When a nurse is caring for a client who has restraints on each extremity, the priority assessment […]
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Which finding should the practical nurse (PN) instruct the postpartum client to report to the charge nurse? A.Increased diaphoresis during the day and night. B.Breast engorgement on the fourth postpartum day. C.Lochia color that changes to light pink or white. D.Sudden or persistent temperature above 100.5 F (38.0 C). The correct answer and Explanation is
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding? A.Variable decelerations are a result of the
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A nurse is discussing risk factors of postpartum haemorrhage with a newly licensed nurse. Which of the following conditions is a risk factor for postpartum haemorrhage that the nurse should include in the teaching? A.Pregnancy-induced hypertension B.Retained placental fragments C.oligohydramnios D.Meconium-stained fluid The correct answer and Explanation is : The correct answer is B. Retained
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A physician orders Toradol (ketorolac) 30 mg IV push every 6 hours x 4 doses. A nurse has Toradol available as a 30 mg/mL injection.How many millilitres per dose should the nurse administer to the patient? A.0.6 mL B.0.4 mL C.1 mL D.3 mL The correct answer and Explanation is : To determine how many
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A nurse is caring for a newborn who is 4 hours old. The newborn is lying in a bassinet, lightly swaddled. The newborn is noted to be jittery with a weak cry when disturbed. Extremities are mottled with acrocyanosis.Respirations are rapid and unlabored. What condition is the newborn most likely experiencing? What are two actions
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You are using the SBAR Communication technique to report a change in a patient’s condition.Which statement would you make when providing background information?A.The patient’s skin is cold and clammy, and they vomited 250 mL of light green fluid. B.The patient might need a nasogastric tube, N fluids, and laboratory studies. C.The patient’s blood pressure is
A nurse is caring for an older adult client who has a hearing aid. Which of the following actions should the nurse take when the client reports hearing a whistling sound from the hearing aid? A.Decrease the volume on the hearing aid. B.Clean the hearing aid with isopropyl alcohol. C.Turn the hearing aid off for
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A nurse is planning care for a client who is to receive alteplase recombinant for a thrombus in the coronary artery.Which of the following actions should the nurse include in the plan of care? A.Observe for bruising of the skin. B.Administer medications intramuscularly. C.Monitor vital signs every 4 hours D.Provide a diet low in protein.
A charge nurse provides an annual in-service for the nursing staff regarding ethical practice. Which of the following actions should the nurse include as an example of ethical practice? A.A nurse raises all four side rails on the bed of a client who is confused. B.A nurse elects not to care for a client who