Quiz
The nurse should teach the client how to use the call light to receive assistance when
there is a need to get out of bed or a chair. The nurse should keep the call light within
the client's reach at all times and have the client demonstrate the ability to use it
properly.
The nurse should recognize the client's home telephone number is an acceptable
identifier to use when identifying the client prior to medication administration. Other
acceptable client identifiers can be the client's medical identification number, the name
on the client's wristband, or a photograph of the client.
The nurse should position the client on their side. This assists the client's airway to
remain open and can prevent aspiration if the client has emesis or secretions in their
mouth.
The nurse should place one foot in front of the other while spreading the feet farther
apart to widen their own base of support. Then the nurse should lower the client to the
floor as smoothly as possible. This will assist with supporting the client's weight and
help to prevent injury to the nurse.
The nurse should palpate over the mastoid or behind the ear to assess the postauricular
nodes. The detection of an enlarged or tender lymph node can indicate the presence of
an infection or a malignancy and should be reported to the provider.
The nurse should identify the route of administration for the medication is missing from
the prescription. All prescriptions should include the client's name, the date and time of
the prescription, the name of the medication, the dose, and the frequency of
administration along with the provider's name and the name of the person who is
transcribing the prescription.
The nurse should identify that older adult clients experience a decrease in sebum
production, which causes the skin to become dry and can cause an increase in
cracking. This can result in delayed wound healing.
The nurse should ensure the client understands that a contrast dye is injected through a
vein to visualize the passage of urine from the renal pelvis to the bladder. This study is
used to diagnose hematuria or obstruction of the urinary tract and can identify the
presence of renal calculi or tumors.
The nurse should ensure that a client who has a tracheostomy has an obturator at their
bedside. If the tracheostomy is dislodged, an obturator is used to reinsert the outer
cannula of the tracheostomy. The nurse should also ensure that a spare tracheostomy
of the client's size, as well as a tracheostomy of one size smaller, supplemental
humidified air or oxygen, and suction equipment are at the client's bedside to ensure
safe client care.
The nurse should encourage the client to cough following the incentive spirometer
procedure. After breathing deeply, secretions can become loose and coughing can help
to remove them.
The nurse should collaborate with the registered dietitian for assistance with the
preparation of nutritious meals. The registered dietitian has the specific dietary
knowledge to assist both the client and those who may be assisting the client.
The insertion of an indwelling urinary catheter is a nursing responsibility. The RN must
be the one to assess the client's need for catheterization and can then delegate the