A nurse is observing an assistive personnel (AP) take a client’s tympanic temperature. Which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure?

A.The AP inserts the probe with a straight, forward motion. B.The AP positions the client facing her. C.The AP pulls the pinna up and back. D.The AP points the probe posteriorly.  The Correct Answer is C The correct answer is: C. The AP pulls the pinna up and back. Explanation: When taking a tympanic temperature […]

A nurse is observing an assistive personnel (AP) take a client’s tympanic temperature. Which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure? Read More »

A nurse is interpreting the results of a contraction stress test (CST) for a client who is at 38 weeks of gestation

A nurse is interpreting the results of a contraction stress test (CST) for a client who is at 38 weeks of gestation. The nurse notes that there are no late or significant variable decelerations of the fetal heart rate (FHR). How should the nurse document this finding? A.Positive CST B.Negative CST C.Unsatisfactory CST D.Suspicious CST

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A nurse is caring for a client who is immobile. Which of the following interventions is appropriate to prevent contracture

A nurse is caring for a client who is immobile. Which of the following interventions is appropriate to prevent contracture? A.Place a towel roll under the client’s neck. B.Position a pillow under the client’s knees. C.Apply an orthotic to the client’s foot. D.Align a trochanter wedge between the client’s legs. Answer and Explanation  The Correct

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A nurse is caring for a client who is receiving meperidine. Which of the following is the nurse’s priority assessment before administering the medication

A nurse is caring for a client who is receiving meperidine. Which of the following is the nurse’s priority assessment before administering the medication? A.Urinary retention B.Vomiting C.Respiratory rate D.Level of consciousness The Correct Answer is C The correct answer is: C. Respiratory rate Explanation: Meperidine is an opioid analgesic that can cause respiratory depression

A nurse is caring for a client who is receiving meperidine. Which of the following is the nurse’s priority assessment before administering the medication Read More »

Which of the following statements should the nurse include when teaching the client about the prescribed medication

Vital Signs Day 1: Temperature 36.2 0 C (97.20 F) Respiratory rate 18/min Heart rate 74/min Blood pressure 1 1 8/68 mm Hg Sp02 96% on room air Day 7: Temperature 36.9 0 C (98.40 F) Heart rate 86/min Respiratory rate 18/min Blood pressure 98/66 mm Hg Sp02 97% on room air Provider Prescriptions Day

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A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following

A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following instructions should the nurse give the partner about turning the client in bed? A.“Keep your feet close together.” B.“Tighten your stomach muscles.” C.“Straighten your knees.” D.“Bend at your waist.” The Correct Answer is B The correct answer

A nurse is reinforcing teaching with the partner of a client who is immobile. Which of the following Read More »

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