A nurse is caring for a client who reports abdominal pain.The nurse asks the client to describe what the pain feels like.The nurse is using which of the following components of the PQRST mnemonic?A.Region. B.Severity. C.Quality. D.Precipitating cause. The Correct Answer and Explanation is: The correct answer is C. Quality. The PQRST mnemonic is a […]
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The patient provides three positive responses to items on the CAGE (Cut down, Annoyed, Guilty, Eye-opener) query.What interpretation should the nurse provide to the patient? A.One positive response indicates the patient should seek help with alcohol addiction. B.All responses to the CAGE Questionnaire must be positive to suggest alcohol dependence. C.The CAGE Questionnaire is a
Which is moved the least during muscle contraction? A.the origin B.the insertion C.the ligaments D.the joints The Correct Answer and Explanation is: The correct answer is A. the origin. Explanation: During muscle contraction, the origin of the muscle is the point that remains relatively fixed or stationary. The origin is typically attached to a stationary
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A nurse is assisting in the admission of a client who has measles. Which of the following isolation precautions should the nurse initiate? A.Contact. B.Airborne. C.Protective environment. D.Droplet. The Correct Answer and Explanation is: The correct answer is B. Airborne. Explanation: Measles, also known as rubeola, is a highly contagious viral infection characterized by symptoms
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A nurse is admitting a client who has measles and a persistent cough. Which of the following actions is a priority for the nurse to take?A.Place the client in airborne isolation. B.Advise the family members not to bring flowers into the room. C.Obtain a sputum sample for culture. D.Place the client on contact precaution. The
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The ICU charge nurse will evaluate that teaching about hemodynamic monitoring for a new staff nurse has been effective when the new nurse does which of the following? A.Position the limb with the catheter insertion site at the level of the transducer. B.Positions the transducer level with the phlebostatic axis. C.Ensures that the patient is
A nurse is admitting a client who has antisocial personality disorder. Which of the following client behaviors should the nurse identify as consistent with this disorder? A.Compulsive attention to details B.Avoids interacting with others C.Uses others for personal gain. D.Socially awkward in group situations The Correct Answer and Explanation is: The correct answer is C.
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Calculate the infusion time for an IV of 1,500 mL running at 25 gtt/min. if the drop factor is 15 gtt/mL. The Correct Answer and Explanation is: To calculate the infusion time for an IV, we need to determine how long it will take to infuse a total volume of 1,500 mL at a given
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The nurse should anticipate difficulty locating the point of maximal impulse (PMI) in which client? Reference Range: Body mass index (BMI) Normal or healthy weight (18.5 kg/m2 to 24.9 kg/m2)] A.A 2-year-old who is demonstrating diaphragmatic breathing. B.A 45-year-old long distance runner with a body mass index (BMI) of 18 kg/m2. C.A 75-year-old with a
If a client demonstrates transference towards the nurse, how should the nurse respond? A.Encourage the client to ignore these thoughts and feelings. B.Promote safety and immediately terminate the relationship with the client. C.Immediately reassign the client to another staff member. D.Help the client to clarify the meaning of the relationship, based on the present situation.
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