WELL VERIFIED (100% CORRECT)/A+ GRADE ASSURED
• A 24-year-old female client is scheduled for surgery in the morning. Which of the
following is the primary responsibility of the nurse?
• Taking the vital signs
• Obtaining the permit
• Explaining the procedure
• Checking the lab work
• The nurse is working in the emergency room when a client arrives with severe burns ofthe
left arm, hands, face, and neck. Which action should receive priority?
• Starting an IV
• Applying oxygen
• Obtaining blood gases
• Medicating the client for pain
,• The nurse is visiting a home health client with osteoporosis. The client has a new
prescription for alendronate (Fosamax). Which instruction should be given to the client?
• Rest in bed after taking the medication for at least 30 minutes
• Avoid rapid movements after taking the medication
• Take the medication with water only
• Allow at least 1 hour between taking the medicine and taking other medications
• The nurse is making initial rounds on a client with a C5 fracture and crutchfield tongs.
Which equipment should be kept at the bedside?
• A pair of forceps
• A torque wrench
• A pair of wire cutters
• A screwdriver
• An infant weighs 7 pounds at birth. The expected weight by 1 year should be:
• 10 pounds
• 12 pounds
• 18 pounds
• 21 pounds
,• A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to
this tumor’s location?
• Hemiplegia
• Aphasia
• Nausea
• Bone pain
• The nurse is caring for a client with epilepsy who is being treated with carbamazepine
(Tegretol). Which laboratory value might indicate a serious side effect of this drug?
• Uric acid of 5mg/dL
• Hematocrit of 33%
• WBC 2,000 per cubic millimeter
• Platelets 150,000 per cubic millimeter
• With probable intussuception, a 6-month-old client is admitted. When gathering
information about this disease, which nursing history inquiry is the least beneficial?
, • “Tell me about his pain.”
• “What does his vomit look like?”
• “Describe his usual diet.”
• “Have you noticed changes in his abdominal size?”
• A client with diverticulosis is receiving assistance from the nurse in choosing the right
foods. Which foods ought to be stayed away from?
• Bran
• Fresh peaches
• Cucumber salad
• Yeast rolls
• A client has rectal cancer and is scheduled for an abdominal perineal resection. What
should be the priority nursing care during the post-op period?
• Teaching how to irrigate the illeostomy
• Stopping electrolyte loss in the incisional area
• Encouraging a high-fiber diet
• Facilitating perineal wound drainage