QUESTIONS WITH DETAILED VERIFIED ANSWERS
AND RATIONALES ALREADY GRADED A+.
/. A nurse is caring for a client who is 2 days postoperative following a total knee
arthroplasty. Which of the following findings indicates that the nurse should modify the
client's plan of care? - Answer-Reports pain as a 5 on a scale of 0 to 10
A report of pain as 5 on a scale of 0 to 10 indicates the client is experiencing moderate
pain. The nurse should contact the provider to obtain a prescription for pain
management interventions and should update the client's plan of care.
/.A nurse is caring for a client who has a new tracheostomy. The nurse should ensure
that which of the following pieces of equipment is present in the client's room? -
Answer-An obturator
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.
/.A nurse is assessing a client who has multiple sclerosis. Which of the following
assessments is the nurse's priority? - Answer-Ability to swallow
The greatest risk to the client is aspiration due to dysphagia. Therefore, the nurse's
priority assessment is the client's ability to swallow.
/.A nurse is teaching a client who is scheduled for an intravenous pyelogram. The nurse
should identify that which of the following client statements indicates an understanding
of the procedure? - Answer-"Contrast dye will be used for this test."
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.
/.A nurse manager is teaching about the rights of delegation to assistive personnel (AP)
and practical nurses (PN). Which of the following examples should the nurse manager
include in the teaching? - Answer-Delegating a PN to insert an indwelling urinary
catheter