QUESTIONS AND ANSWERS 100% CORRECT UPDATED
A nurse is assisting client from a bed to a wheelchair. Which
nursing action is appropriate? - VERIFIED ANSWER - The nurse
uses assistive devices when lifting more than 35 lb (16 kg) of
client weight.
A nurse is filling out an incident report after an older adult
client fell while attempting to transfer from her bed to a
commode. Which health problem should the nurse consider
when client falls occur? - VERIFIED ANSWER - orthostatic
hypotension
The nurse is transferring the client from the bed to a
wheelchair when the client reports dizziness. What is the next
step for the nurse? - VERIFIED ANSWER - Firmly grasp the gait
belt and gently lower the client into bed.
A nurse is assisting a client with the use of a bedpan. The nurse
understands that which statement about bedpans is true? -
VERIFIED ANSWER - The largest part of a regular bedpan should
be placed under the client's buttocks.
,The nurse is engaged in collecting a urine specimen for a
routine urinalysis from a client with an indwelling catheter.
What nursing action has the greatest impact on the accuracy of
the testing results? - VERIFIED ANSWER - Selecting this
particular specimen port site
A nurse is collecting a routine urinalysis on a client presenting
to the emergency room with abdominal pain. What nursing
action is important in the collection of this specimen? -
VERIFIED ANSWER - Obtain a nonsterile specimen and send it to
the lab.
A nurse is providing oral care to an unconscious client. When
planning this intervention, the nurse should prioritize which
nursing diagnosis? - VERIFIED ANSWER - Risk for Aspiration
When providing oral care, what does the nurse recognize as the
most important component of the oral care process? - VERIFIED
ANSWER - a thorough, mechanical cleaning
The nurse is preparing a client to receive a hypertonic enema
solution. Into which position will the nurse place the client? -
VERIFIED ANSWER - Sims
,A client is scheduled for thoracentesis. The nurse assesses that
the client appears anxious about the procedure and needs
honest support and reassurance. What is the most appropriate
response by the nurse to this client? - VERIFIED ANSWER - "The
needle causes discomfort or pain when it goes in, but I will be
by your side throughout and will help you hold your position."
A client's primary care provider has informed the nurse that the
client will require thoracentesis. The nurse should suspect that
the client has developed which disorder of lung function? -
VERIFIED ANSWER - Pleural effusion
An indwelling urinary catheter has been ordered for a client
experiencing urinary retention after surgery. When the nurse
enters the room to place the catheter, the client reports
voiding in the bathroom. Which is the nurse's most appropriate
action? - VERIFIED ANSWER - Reassess whether the client still
needs the urinary catheter.
The health care provider has prescribed an indwelling catheter
for a 48-year-old male client who is in traction with leg
fractures. Which information will the nurse give the client when
he states not wanting the indwelling catheter? - VERIFIED
ANSWER - "Let me talk to your health care provider about a
condom catheter."
, The nurse is caring for an older adult with a recurrent wound
infection. Which precautions will the nurse begin? - VERIFIED
ANSWER - contact
The nurse has admitted a client on airborne precautions onto
the medical-surgical unit. When the client asks, "When will
these airborne precautions be removed?" what is the
appropriate nursing response? - VERIFIED ANSWER - "When
your sputum culture is negative."
The nurse is caring for a client with tuberculosis. Which
precautions will the nurse select for this client? - VERIFIED
ANSWER - airborne
The nurse is caring for a pediatric client with whooping cough.
Which precautions will the nurse begin? - VERIFIED ANSWER -
droplet
The nurse is caring for an older adult with influenza. Which
precautions will the nurse begin? - VERIFIED ANSWER - droplet