A community hit by a hurricane has suffered mass destruction and flooding. Sewage facilities are non-functioning, and water is contaminated in the area. The practical nurse (PN) is assisting with the plan of care for clients diagnosed with cholera after an outbreak. Which intervention has the highest priority? A.Isolate all infectious diarrhea victims. B.Administer prophylactic […]

The nurse is caring for a patient with kidney stones. Which intervention should the nurse implement? A.Strain all urine. B.Apply ice to the painful area. C.Encourage bedrest. D.Restrict fluids. The correct answer and Explanation is: The correct intervention for a nurse caring for a patient with kidney stones is: A. Strain all urine. Explanation: Straining

The nurse is assessing a client with gallstones for jaundice. Which action should the nurse perform to confirm this information? A.Assess conjunctival sacs of lower lids for pallor. B.Observe the client’s urine for dark orange color. C.Examine client’s sclera for icterus. D.Review recent serum bilirubin levels. The Correct Answer and Explanation is : The correct

Which medication, if taken within the last 24-48 hours, would prevent a nurse from administering nitroglycerin? A.Sildenafil (Viagra) B.Aspirin C.Adenosine D.Oxygen The Correct Answer and Explanation is : The correct answer is A. Sildenafil (Viagra). Explanation: Nitroglycerin is a medication commonly used to treat angina pectoris (chest pain) by dilating blood vessels, which helps to

A client with a history of kidney stones asks the nurse, “What can I do to prevent future kidney stones?” What is the nurse’s best response?A.“Limit your intake of fluids to reduce the risk of kidney stone formation.” B.“Include more foods high in oxalate, such as spinach and nuts, in your diet.” C.“Avoid all dairy

What nursing intervention is particularly indicated for the second stage of labor? A.Providing pain medication to increase the client’s tolerance of labor pains B.Assessing the fetal heart rate and pattern for signs of fetal distress C.Assisting the client to push effectively so that expulsion of the fetus can be achieved D.Monitoring effects of oxytocin administration

What are the risk factors for neonatal sepsis? Select all that apply. (Select All that Apply.). A.Preterm birth B.Cesarean birth C.Precipitous delivery D.Frequent vaginal exams E.Mother has GBS infection The correct answer and Explanation is: The correct answers are: A. Preterm birthC. Precipitous deliveryD. Frequent vaginal examsE. Mother has GBS infection Explanation: Neonatal sepsis is

A nurse is assessing a client who has a pneumothorax with a chest tube in place. For which of the following findings should the nurse notify the provider? A.Crepitus in the area above and surrounding the insertion site B.Bubbling of the water in the water seal chamber with exhalation C.Eyelets are not visible D.Movement of

A nurse is planning care for a client in the postpartum unit. Which of the following goals should the nurse identify for the client to accomplish during the taking-in phase of postpartum adjustment?. A.The client will demonstrate proper bathing of the infant. B.The client will verbalize appropriate car seat safety. C.The client will identify individual

A nurse in a community clinic is collecting data from an older adult client who has a body mass index of 17.5. When evaluating the client for dehydration, the nurse should look for which of the following indications of fluid-volume deficit? A.Tenting B.Protruding eyeballs C.Elevated blood pressure D.Dry mucous membranes The Correct Answer and Explanation