A nurse is caring for a client who is postoperative following vascular surgery.Which of the following manifestations should indicate to the nurse that the client has developed a thrombus? A.Dull, aching calf pain. B.Positive Kernig’s sign. C.Soft, pliable calf muscle. D.Positive Homan’s sign. The correct answer and Explanation is: The correct answer is A. Dull, […]

Which technique should the nurse use to assess the pupillary reaction on a client? A.Ask the client to follow the penlight in six directions and observe for bilateral pupil constriction. B.Bring a narrow beam of light from the side of the patient’s face and briefly shine the light on the pupil, observing the pupil for

A nurse is administering erythromycin eye ointment to a newborn who has a history of allergic reaction to penicillin. What should the nurse do before applying the ointment? A.Ask the mother if she has any allergies to antibiotics B.Check if there is any cross-sensitivity between erythromycin and penicillin C.Apply a small amount of ointment on

A nurse is preparing to perform an anthropometric assessment on a client. Which of the following client data should the nurse include? A.Respiratory rate B.Weight C.Current pain level D.Level of orientation The correct answer and Explanation is: The correct answer is B. Weight. Explanation: Anthropometric assessments are measurements of the human body and are used

A client who is receiving radiation treatment for laryngeal cancer has developed xerostomia and mucositis. The nurse determines the client has an imbalanced nutritional intake and is consuming less than body requirements. Which factor is the most likely cause for this problem? A.Nausea. B.Fatigue. C.Pain when eating. D.Altered taste sensation. The Correct Answer and Explanation

The nurse is auscultating heart sounds on a client and hears an extra sound late in diastole, just before the S1. How should the nurse document this finding? A.The third heart sound (S3) B.A friction rub C.The fourth heart sound (S4) D.A split second heart sound S2 The correct answer and Explanation is: The correct

A nurse is teaching a client who has a new prescription for docusate. Which of the following information should the nurse include in the teaching? A.‘Take this medication on an empty stomach’ B.‘Expect abdominal pain with this medication’ C.‘Take the medication with a full glass of water.” D.“Do not take this medication before bedtime.” The

Dear Aunt Suzanne, I have a few minutes before I get on the bus from Galway back to Dublin and wanted to tell you how my class trip to Ireland is going. We just spent 2 days on Inis Mor, the largest of the Aran Islands, which are just off the central west coast of

A nurse is teaching a client about maintaining skin integrity to decrease the risk of infection. Which of the following should the nurse include in the teaching? A.Use a moisturizer on your skin after cleaning. B.Rub your skin firmly when cleaning. C.Allow your skin to air dry after bathing. D.Wash your skin daily with hot

What type of joint is present within the thumb? A.Hinge. B.Condylar. C.Saddle. D.Ball and Socket. The correct answer and Explanation is: The type of joint present within the thumb is: C. Saddle. Explanation: The thumb’s unique range of motion is facilitated by the saddle joint, specifically at the carpometacarpal (CMC) joint of the thumb. This