A nurse is performing an eye assessment for a newly admitted client. Which of the following findings should the nurse expect? A.Eyelashes that curl slightly outward. B.Eyelids that blink involuntarily 30 to 35 times per minute C.Corneas with an opaque appearance D.Pupils that are 8 to 9 mm in diameter The Correct Answer and Explanation […]
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A home health nurse is performing an eye assessment for an older adult client. Which of the following findings is the priority for the nurse to report to the provider? A.Conjunctivitis B.Increased sensitivity to glare C.Decreased near vision D.Hemianopsia The Correct Answer and Explanation is: The correct answer is D. Hemianopsia. Explanation: Hemianopsia refers to
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A nurse is caring for a client who is gravida 3, para 2, and is in active labor. The fetal head is at 3+ station after a vaginal examination. Which of the following actions should the nurse take? A.Observe for the presence of a nuchal cord. B.Prepare to administer oxytocin. C.Observe for crowning. D.Apply fundal
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The client usually has central chest pressure when mowing the lawn that is relieved with rest and nitroglycerin. Today while sitting and reading the paper, he got pain that is now left sided, radiating down his arm, rated “4”. He took 3 nitroglycerin 5 minutes apart without relief. What is the understanding of this situation?
A physician orders Dobutamine 10 mcg/kg/min for a patient. The patient is 110 lb. How many milligrams per hour should the patient receive? A.0.5 mg/hr B.30 mg/hr C.60 mg/hr D.145 mg/hr The Correct Answer and Explanation is: To calculate the amount of Dobutamine the patient should receive per hour, follow these steps: Correct Answer: B.
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A nurse is caring for a client who has a prescription for a stool test for occult. The nurse understands the purpose of the test is to check the stool for which of the following substances? A BacteriaB ParasitesC SteatorrheaD Blood The Correct Answer and Explanation is: The correct answer is D) Blood. Explanation: A
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A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. For which of the following therapeutic effects should the nurse monitor the client A.Deep tendon reflexes 2+. B.1+ proteinuria via urine dipstick. C.Pulse rate 100/min. D.Urine output 20 mL/hr. E.undefined The Correct Answer and Explanation is: The
A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features. Which of the following actions should the nurse take? A.Restrict protein intake to less than 40 g/day. B.Initiate seizure precautions for the client. C.Initiate an infusion of 0.9% sodium chloride at 150 ml/hr. D.Encourage the client
A nurse is evaluating the effectiveness of indirect care interventions for a client who has diabetes mellitus. Which of the following are appropriate indicators of indirect care outcomes?A.The client’s blood glucose level is within the target range. B.The client’s medical record reflects accurate and timely documentation. C.The nurse adheres to infection control policies when handling
A nurse is caring for a client who has a chronic illness. In which phase of the therapeutic relationship should the nurse help the client develop problem-solving skills? A.Preinteraction phase B.Working phase C.Orientation phase D.Termination phase The Correct Answer and Explanation is: The correct answer is B. Working phase. Explanation: The therapeutic relationship between a
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