A nurse is assisting with a prenatal examination of a client who is at 8 weeks of gestation. The nurse notes that the client’s vagina and vulva are a purplish color. The nurse should document this finding as which of the following? A.Ballottement B.Chadwick’s sign C.Hegar’s sign D.Chloasma The Correct answer and Explanation is: The […]

A nurse is reinforcing teaching to a newly licensed nurse about bowel sounds. Which of the following characteristics should the nurse use to describe hyperactive bowel sounds? A.Sounds are high-pitched B.Can be a result of a paralytic ileus C.Indicates decreased motility D.Sounds are soft and at a rate of 1/min The Correct answer and Explanation

A patient is on the ventilator and a high-pressure alarm sounds. The nurse should assess for which of these possible causes for the alarm? A.The patient may need suctioning B.The patient extubated himself C.The ventilator tubing may be disconnected. D.The cuff at the end of the endotracheal tube is deflated. The Correct answer and Explanation

A nurse is admitting a client who has acute heart failure following myocardial infarction (MI). The nurse recognizes that which of the following prescriptions by the provider requires clarification? A.Laboratory testing of serum potassium upon admission B.Bumetanide 1 mg IV bolus every 12 hr C.0.9% normal saline IV at 50 mL/hr continuous D.Morphine sulfate 2

The nurse is educating a patient with phlebitis of the left leg. What alternative therapy should this patient avoid until the condition is resolved? A Yoga.B Therapeutic massage.C Acupressure.D Acupuncture. The Correct answer and Explanation is: Correct Answer: B. Therapeutic massage Explanation: Phlebitis, or inflammation of a vein, can cause pain, redness, and swelling in

A nurse is providing an in-service on the Healthy People 2030 framework.Which of the following information should the nurse include?A.Identifies viruses across the world. B.Establishes health objectives for Americans. C.Utilizes health data from the past 20 years. D.Monitors nonmodifiable risk factors. The Correct answer and Explanation is: The correct answer is B. Establishes health objectives

While auscultating a client’s breath sounds, the nurse hears vesicular sounds in the bases of both lungs posteriorly. Which action should the nurse take in response to this finding? A.Continue with the remainder of the client’s physical assessment. B.Report the client’s abnormal lung sounds to the healthcare provider. C.Ask the client to cough and then

A nurse is providing teaching about lithium to a client who has bipolar disorder. Which of the following information should the nurse include? A.“Restrict your fluid intake while taking lithium. B.“Double your dose of lithium if you experience blurred vision.” C.“Consume a moderate-sodium diet while taking lithium.” D.“Slurred speech can indicate that your lithium level

A nurse is caring for a patient with thrombocytopenia.The patient presents with mucosal bleeding, including petechiae, purpura, and gingival bleeding.What should the nurse anticipate when assessing this patient’s platelet count?A.The platelet count is likely within the normal range. B.The platelet count may be below 50,000/uL, indicating a risk of prolonged bleeding. C.The platelet count is

A client is undergoing a bronchoscopy as part of the diagnostic evaluation for lung cancer. The nurse should provide pre-procedure education, including information about the need for:A.Fasting for 24 hours before the procedure. B.Removal of all jewelry and clothing before the procedure. C.A signed consent form for anesthesia. D.NPO (nothing by mouth) status for 6