Based on annual physical assessments, an older adult female’s blood pressure readings have changed from 120/82 to 155/86 mm Hg over the past two years. The practical nurse (PN) should recognize which factors in the client’s history are likely to be associated with this finding? (Select all that apply.) A.Leads an aerobics class. B.Increase in […]

Your patient is supposed to get a tap water enema. What medical diagnosis would NOT qualify him for this procedure? A.Pneumonia B.Edema or Excess Fluid Volume C.Hypertension D.Diabetes Melitus The correct answer and Explanation is : The correct answer is B. Edema or Excess Fluid Volume. Explanation A tap water enema is a procedure used

A nurse is preparing her patient to receive a Fleet enema. What position is best for the procedure? A.Supine position B.High Fowler’s position C.Semi Fowler’s position D.Left lateral sidelying position (Sims) The correct answer and Explanation is : The best position for administering a Fleet enema is D. Left lateral sidelying position (Sims). Explanation When

Advantages of the problem-oriented medical record (POMR) are that this method of documentation: (Select all that apply.) A.reinforces application of the nursing process. B.formats documentation into chronological order. C.promotes the problem-solving approach D.makes tracking trends in patient care easy. E.allows for easy auditing of patient records to evaluate staff performance The correct answer and Explanation

The nurse is planning care for four postoperative clients, each with a different drainage system. Which information, received in report, requires immediate follow-up intervention by the nurse? A.30 mL of serous fluid obtained from compression bulb device in last 4 hours. B.40 mL per hour of dark, cloudy urine from urinary catheter in last 4

Which assessment data would require immediate intervention by the nurse for the client who is six (6) hours post-operative abdominal aortic aneurysm repair? A.Absent bilateral pedal pulses. B.Complaints of pain at the site of the incision. C.Distended, tender abdomen. D.An elevated temperature of 100 F The correct answer and Explanation is : The assessment data

The nurse is leading an exercise class for a group of adults aged 65 years and older. The nurse incorporates isotonic. Isometric, and isokinetic exercises into the class. Which activity is an isometric exercise? A.Carrying an air-filled ball while wading through the water across the width of a pool B.Contracting the gluteal muscles while holding

The nurse explains isometric exercises to the patient on the rehabilitation unit.Which explanation provided by the nurse is accurate?A.“Move your wrist in a circular motion 5 times every hour.”. B.“Squeeze your gluteal muscles tightly 3 times every hour.”. C.“Lift a 5-pound weight to increase your arm strength.”. D.“Bend your knee up to your chest 4

A nurse is caring for a client who receives intermittent enteral feedings through an NG tube. Before administering a feeding, the nurse should measure the gastric residual for which of the following purposes? A.To confirm the placement of the NG tube B.To determine the client’s electrolyte balance C.To remove gastric acid that might cause dyspepsia

A nurse is caring for an infant who receives intermittent enteral feedings through a gastrostomy tube. Which of the following actions should the nurse take when administering a feeding? (Select all that apply.). A.Offer the infant a pacifier during feedings. B.Check for residual volumes by aspirating stomach contents. C.Place the infant in supine position. D.Instill