Podcast
Questions and Answers
A nurse is teaching a client how to perform range-of-motion exercises of the wrist. To perform adduction, which of the following instructions should the nurse include?
A nurse is teaching a client how to perform range-of-motion exercises of the wrist. To perform adduction, which of the following instructions should the nurse include?
A nurse is preparing a client who is scheduled for a hysterectomy for transport to the operating room. The client states she no longer wants to have the surgery. Which of the following actions should the nurse take?
A nurse is preparing a client who is scheduled for a hysterectomy for transport to the operating room. The client states she no longer wants to have the surgery. Which of the following actions should the nurse take?
A nurse is caring for a client with a history of multiple sclerosis. Complete the following sentence by using the lists of options.
The client is at risk of _________ due to ___________.
A nurse is caring for a client with a history of multiple sclerosis. Complete the following sentence by using the lists of options. The client is at risk of _________ due to ___________.
aspiration, swallowing study
A nurse is receiving a client from the PACU who is postoperative following abdominal surgery. Which of the following actions should the nurse perform to transfer the client from the stretcher to the bed?
A nurse is receiving a client from the PACU who is postoperative following abdominal surgery. Which of the following actions should the nurse perform to transfer the client from the stretcher to the bed?
Signup and view all the answers
A nurse is caring for a client who was transferred to the surgical unit by stretcher from the PACU. Which of the following actions should the nurse perform immediately following the transfer?
A nurse is caring for a client who was transferred to the surgical unit by stretcher from the PACU. Which of the following actions should the nurse perform immediately following the transfer?
Signup and view all the answers
A nurse is conducting a health promotion class for a group of college students. Which of the following statements by a student should the nurse identify as a potential problem with achieving Erikson's developmental task for this age group?
A nurse is conducting a health promotion class for a group of college students. Which of the following statements by a student should the nurse identify as a potential problem with achieving Erikson's developmental task for this age group?
Signup and view all the answers
A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. A dietary assistant asks the nurse what precautions are necessary for entering the client’s room with the lunch tray. Which of the following instructions should the nurse give to the dietary assistant?
A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection. A dietary assistant asks the nurse what precautions are necessary for entering the client’s room with the lunch tray. Which of the following instructions should the nurse give to the dietary assistant?
Signup and view all the answers
A nurse is caring for a middle-aged adult client. The nurse should evaluate the client for progress toward which of the following developmental tasks?
A nurse is caring for a middle-aged adult client. The nurse should evaluate the client for progress toward which of the following developmental tasks?
Signup and view all the answers
A nurse is performing an admission assessment for a client who has asthma and reports several food allergies. Which of the following actions should the nurse take first?
A nurse is performing an admission assessment for a client who has asthma and reports several food allergies. Which of the following actions should the nurse take first?
Signup and view all the answers
A nurse is caring for an older adult client who becomes agitated when the nurse requests that the client’s dentures be removed prior to surgery. Which of the following responses should the nurse provide?
A nurse is caring for an older adult client who becomes agitated when the nurse requests that the client’s dentures be removed prior to surgery. Which of the following responses should the nurse provide?
Signup and view all the answers
A nurse is teaching the parent of a child who is to take 10 mL of a liquid medication. The parent has a hollow medication spoon with marks to indicate teaspoons and tablespoons. How many teaspoons should the nurse instruct the parent to give the child? (Fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)
A nurse is teaching the parent of a child who is to take 10 mL of a liquid medication. The parent has a hollow medication spoon with marks to indicate teaspoons and tablespoons. How many teaspoons should the nurse instruct the parent to give the child? (Fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)
Signup and view all the answers
A nurse is assessing a client who is experiencing an obstruction of the flow of the vitreous humor in the eye. This manifestation is consistent with which of the following eye disorders?
A nurse is assessing a client who is experiencing an obstruction of the flow of the vitreous humor in the eye. This manifestation is consistent with which of the following eye disorders?
Signup and view all the answers
A nurse in a provider’s office is assessing a client who has heart failure. The client has gained weight since her last visit, and her ankles are edematous. Which of the following findings is another clinical manifestation of fluid volume excess?
A nurse in a provider’s office is assessing a client who has heart failure. The client has gained weight since her last visit, and her ankles are edematous. Which of the following findings is another clinical manifestation of fluid volume excess?
Signup and view all the answers
A nurse on a medical unit is caring for a client who has difficulty sleeping. Which of the following actions should the nurse take to promote the client's ability to fall asleep?
A nurse on a medical unit is caring for a client who has difficulty sleeping. Which of the following actions should the nurse take to promote the client's ability to fall asleep?
Signup and view all the answers
A nurse is planning care for a group of clients receiving oxygen therapy. Which of the following clients should the nurse plan to see first?
A nurse is planning care for a group of clients receiving oxygen therapy. Which of the following clients should the nurse plan to see first?
Signup and view all the answers
A nurse is auscultating a client's lungs and identifies rhonchi over the trachea and bronchi. Which of the following actions should the nurse take?
A nurse is auscultating a client's lungs and identifies rhonchi over the trachea and bronchi. Which of the following actions should the nurse take?
Signup and view all the answers
A nurse delegates the collection of a client's temperature to an assistive personnel (AP). The nurse notes in the documentation that the AP obtained the client's axillary temperature; however, the nurse wanted an oral temperature. The nurse should identify that which of the following rights of delegation should have prevented this situation from occurring?
A nurse delegates the collection of a client's temperature to an assistive personnel (AP). The nurse notes in the documentation that the AP obtained the client's axillary temperature; however, the nurse wanted an oral temperature. The nurse should identify that which of the following rights of delegation should have prevented this situation from occurring?
Signup and view all the answers
A nurse is caring for a group of clients. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
A nurse is caring for a group of clients. Which of the following tasks should the nurse assign to an assistive personnel (AP)?
Signup and view all the answers
A nurse is teaching a client about the use of a straight-legged cane. Which of the following client actions indicates an understanding of the teaching?
A nurse is teaching a client about the use of a straight-legged cane. Which of the following client actions indicates an understanding of the teaching?
Signup and view all the answers
A nurse is teaching range-of-motion exercises to a client who has osteoarthritis. Which of the following client positions demonstrates an understanding of supination of the hand?
A nurse is teaching range-of-motion exercises to a client who has osteoarthritis. Which of the following client positions demonstrates an understanding of supination of the hand?
Signup and view all the answers
A nurse is performing a physical examination of a client. The nurse should use percussion to evaluate which of the following parts of the client's body?
A nurse is performing a physical examination of a client. The nurse should use percussion to evaluate which of the following parts of the client's body?
Signup and view all the answers
A nurse is preparing to assess the function of the client's trigeminal nerve (cranial nerve V). Which of the following items should the nurse gather for the test?
A nurse is preparing to assess the function of the client's trigeminal nerve (cranial nerve V). Which of the following items should the nurse gather for the test?
Signup and view all the answers
A nurse is helping a client change his hospital gown. The client has an IV infusion via an infusion pump. Which of the following actions should the nurse take first?
A nurse is helping a client change his hospital gown. The client has an IV infusion via an infusion pump. Which of the following actions should the nurse take first?
Signup and view all the answers
A nurse is caring for a client who has breast cancer. The client has been receiving radiation therapy for several months and now refuses to undergo further treatment. Which of the following actions should the nurse take?
A nurse is caring for a client who has breast cancer. The client has been receiving radiation therapy for several months and now refuses to undergo further treatment. Which of the following actions should the nurse take?
Signup and view all the answers
A nurse is caring for a client who starts to experience a seizure while sitting in a chair. Which of the following actions should the nurse take?
A nurse is caring for a client who starts to experience a seizure while sitting in a chair. Which of the following actions should the nurse take?
Signup and view all the answers
A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site, which of the following sites should the nurse select?
A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site, which of the following sites should the nurse select?
Signup and view all the answers
A nurse is evaluating the development of a group of clients. According to Erikson, the developmental task of intimacy vs. isolation occurs during which of the following stages of development?
A nurse is evaluating the development of a group of clients. According to Erikson, the developmental task of intimacy vs. isolation occurs during which of the following stages of development?
Signup and view all the answers
A nurse is assessing the pH of a client's gastric fluid to confirm the placement of an NG tube in the stomach. Which of the following pH values should the nurse expect?
A nurse is assessing the pH of a client's gastric fluid to confirm the placement of an NG tube in the stomach. Which of the following pH values should the nurse expect?
Signup and view all the answers
A nurse is preparing to administer 700 mL of 0.9% sodium chloride IV to a child to infuse over 24 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)
A nurse is preparing to administer 700 mL of 0.9% sodium chloride IV to a child to infuse over 24 hr. The drop factor of the manual IV tubing is 60 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Fill in the blank with the numeric value only, round the answer to the nearest whole number, and use a leading zero if applicable. Do not use a trailing zero.)
Signup and view all the answers
A nurse is supervising a newly licensed nurse who is administering a controlled substance. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
A nurse is supervising a newly licensed nurse who is administering a controlled substance. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
Signup and view all the answers
A nurse is assessing a client. Which of the following findings should the nurse identify as an indication of protein-calorie malnourishment? (Select all that apply.)
A nurse is assessing a client. Which of the following findings should the nurse identify as an indication of protein-calorie malnourishment? (Select all that apply.)
Signup and view all the answers
A nurse is planning to document care provided for a client. Which of the following abbreviations should the nurse use?
A nurse is planning to document care provided for a client. Which of the following abbreviations should the nurse use?
Signup and view all the answers
A nurse is caring for an adult client who communicates an unmet spiritual need. Which of the following client statements should indicate to the nurse that the client is experiencing spiritual distress
A nurse is caring for an adult client who communicates an unmet spiritual need. Which of the following client statements should indicate to the nurse that the client is experiencing spiritual distress
Signup and view all the answers
A nurse is performing an admission assessment for a client. Which of the following responses by the nurse reflects the communication technique of clarifying?
A nurse is performing an admission assessment for a client. Which of the following responses by the nurse reflects the communication technique of clarifying?
Signup and view all the answers
A home health nurse enters a client’s home and finds a used insulin syringe without a cap on the table. Which of the following actions should the nurse take?
A home health nurse enters a client’s home and finds a used insulin syringe without a cap on the table. Which of the following actions should the nurse take?
Signup and view all the answers
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following pieces of information must the nurse verify with another nurse prior to the administration? (Select all that apply.)
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following pieces of information must the nurse verify with another nurse prior to the administration? (Select all that apply.)
Signup and view all the answers
A nurse asks a client to explain the statement, "A bird in the hand is worth two in the bush." Through this question, the nurse is evaluating the client's ability in which of the following intellectual functions?
A nurse asks a client to explain the statement, "A bird in the hand is worth two in the bush." Through this question, the nurse is evaluating the client's ability in which of the following intellectual functions?
Signup and view all the answers
A nurse is changing the dressings for a client who is 3 days postoperative following a cholecystectomy. The nurse observes yellow, thick drainage on the dressing. The nurse should document this finding as which of the following types of drainage?
A nurse is changing the dressings for a client who is 3 days postoperative following a cholecystectomy. The nurse observes yellow, thick drainage on the dressing. The nurse should document this finding as which of the following types of drainage?
Signup and view all the answers
A nurse is explaining the use of written consent forms to a newly licensed nurse. The nurse should ensure that a written consent form has been signed by which of the following clients?
A nurse is explaining the use of written consent forms to a newly licensed nurse. The nurse should ensure that a written consent form has been signed by which of the following clients?
Signup and view all the answers
A nurse in a provider's clinic is taking a client's age, height, weight, and vital signs. The nurse should identify this action as part of which of the following components of the nursing process?
A nurse in a provider's clinic is taking a client's age, height, weight, and vital signs. The nurse should identify this action as part of which of the following components of the nursing process?
Signup and view all the answers
A nurse is responding to a parent’s question about his infant’s expected physical development during the first year of life. Which of the following pieces of information should the nurse include?
A nurse is responding to a parent’s question about his infant’s expected physical development during the first year of life. Which of the following pieces of information should the nurse include?
Signup and view all the answers
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift in which the client received atenolol instead of allopurinol. Which of the following interventions is the nurse's priority?
A nurse is preparing to administer medication to a client who has gout. The nurse discovers that an error was made during the previous shift in which the client received atenolol instead of allopurinol. Which of the following interventions is the nurse's priority?
Signup and view all the answers
A nurse is screening a client who has an S-shaped spinal column with unequal shoulder heights. The nurse should identify these findings as manifestations of which of the following abnormalities?
A nurse is screening a client who has an S-shaped spinal column with unequal shoulder heights. The nurse should identify these findings as manifestations of which of the following abnormalities?
Signup and view all the answers
A nurse is assessing a client who has a total calcium level of 12.7 mg/dL. Which of the following findings should the nurse expect?
A nurse is assessing a client who has a total calcium level of 12.7 mg/dL. Which of the following findings should the nurse expect?
Signup and view all the answers
A nurse is providing teaching to a client about a surgical procedure that she is scheduled for later in the day. The client states that no one has spoken to her about the procedure before. Which of the following actions should the nurse take?
A nurse is providing teaching to a client about a surgical procedure that she is scheduled for later in the day. The client states that no one has spoken to her about the procedure before. Which of the following actions should the nurse take?
Signup and view all the answers
A nurse is caring for a client who is receiving a fluid infusion through a peripheral IV catheter. The nurse notes that the area of the arm immediately surrounding the insertion site is red and feels warm. Which of the following actions should the nurse take?
A nurse is caring for a client who is receiving a fluid infusion through a peripheral IV catheter. The nurse notes that the area of the arm immediately surrounding the insertion site is red and feels warm. Which of the following actions should the nurse take?
Signup and view all the answers
A nurse on an oncology unit receives report at the beginning of her shift about 4 clients who are postoperative. Which of the following clients should the nurse see first?
A nurse on an oncology unit receives report at the beginning of her shift about 4 clients who are postoperative. Which of the following clients should the nurse see first?
Signup and view all the answers
A nurse is obtaining a capillary blood sample to determine a client's blood glucose level. The nurse prepares and punctures the client's finger for the procedure but does not obtain an adequate amount of blood. Which of the following actions should the nurse take next?
A nurse is obtaining a capillary blood sample to determine a client's blood glucose level. The nurse prepares and punctures the client's finger for the procedure but does not obtain an adequate amount of blood. Which of the following actions should the nurse take next?
Signup and view all the answers
A nurse on a surgical unit is receiving a client who had abdominal surgery from the postanesthesia care unit. Which of the following assessments should the nurse make first?
A nurse on a surgical unit is receiving a client who had abdominal surgery from the postanesthesia care unit. Which of the following assessments should the nurse make first?
Signup and view all the answers
A nurse is teaching a client who is postoperative how to use a flow-oriented incentive spirometer. Which of the following instructions should the nurse include?
A nurse is teaching a client who is postoperative how to use a flow-oriented incentive spirometer. Which of the following instructions should the nurse include?
Signup and view all the answers
Study Notes
Nursing Interventions and Client Care
- Teach clients to perform wrist adduction exercises, focusing on moving the wrist towards the midline of the body.
- When a client refuses surgery, assess their understanding and re-evaluate consent for the procedure.
- Recognize risks for clients with multiple sclerosis, including mobility issues due to muscle weakness.
- Safely transfer clients from stretcher to bed, ensuring body alignment and comfort during the move.
- Immediately assess vital signs and level of consciousness following the transfer from PACU to surgical unit.
- Identify statements indicating developmental issues in young adults based on Erikson's theory, such as struggles with intimacy.
Infection Control Precautions
- Instruct dietary staff to wear gloves and follow contact precautions when handling meals for clients with MRSA.
- Evaluate middle-aged clients for developmental tasks related to generativity vs. stagnation, focusing on productivity and contribution to society.
Patient Assessment and Allergies
- Prioritize implementing a detailed assessment plan for clients with asthma and food allergies to prevent allergic reactions.
- Approach agitated clients with empathy, offering reassurance and addressing their concerns before proceeding with care.
Medication Administration and Calculations
- Instruct parents to administer approximately 2 teaspoons for a 10 mL dose of liquid medication for a child.
- Assess the flow of vitreous humor in patients to identify disorders such as retinal detachment or floaters.
- Monitor clients in heart failure for signs of fluid overload, such as sudden weight gain and edema.
Promoting Sleep and Client Safety
- Implement strategies to improve sleep hygiene for clients reporting insomnia, such as creating a relaxing environment.
- Assess oxygen therapy needs, prioritizing clients with lower oxygen saturation levels.
Documentation and Delegation
- Ensure accurate delegation by confirming the right task was assigned; clarify which task the AP was responsible for when documentation errors occur.
- Assign basic hygiene or non-invasive procedures to assistive personnel to maximize nursing efficiency.
Cognitive Assessments and Communication
- Use appropriate equipment to assess the trigeminal nerve’s function, such as a cotton tip for light touch assessment.
- Prioritize response actions, such as maintaining patient safety during seizure events, ensuring the environment is safe.
Surgical Procedures and Patient Care
- Validate patient consent forms for surgeries, ensuring they are signed and understood by clients.
- When observing abnormal drainage post-surgery, document the findings accurately, noting the characteristics of the drainage.
Ethical Considerations in Nursing
- Address spiritual distress in clients through active listening and providing resources for support.
- Implement infection control measures when managing potentially hazardous items, like used syringes in home health care settings.
Understanding Developmental Milestones
- Observe normal developmental milestones in infants, such as motor skills and social interactions, during health screenings.
- Recognize clients with spinal deformities such as scoliosis and the implications for physical therapy.
Fluid Management and Assessments
- Identify care protocols for clients with hypercalcemia, monitoring for signs like muscle weakness and lethargy.
- Document post-operative assessments, prioritizing vital signs and consciousness levels to detect complications early.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz assesses your understanding of range-of-motion exercises focusing on the wrist. It includes instructions on how to perform adduction effectively. Ideal for nursing students and professionals looking to enhance their patient care skills.
