a client asks why he has to obtain a "clean catch"
urine specimen. The nurse explains this is to obtain
a culture and sensitivity measurement that will
reveal:
a) the amount of protein in the urine
b) absence of bacteria and ammonia
c) the color of the urine
d) which antibiotics will be effective Correct
Answers d) which antibiotics will be effective
a client in severe respiratory distress is admitted to
the hospital. During the assessment of the client
the nurse should:
a) perform a comprehensive health history to
determine the extent of prior problems
b) complete a full physical exam to determine the
effect of respiratory distress on rest of body
c) delay any physical assessment of the client and
ask family about the history of problems
d) perform a physical assessment of the respiratory
system and ask specific questions related to this
episode of respiratory distress. Correct Answers
d) perform a physical assessment of the respiratory
system and ask specific questions related to this
episode of respiratory distress.
a client is to have a stool test for occult blood. The
correct procedure for this test is:
,a) sterile technique is used for collection
b) only the grooved part at the end of the stick
needs to be covered with stool
c) the specimen should be kept warm
d) a 2.5 cm sample of formed stool needed Correct
Answers b) only the grooved part at the end of the
stick needs to be covered with stool
a client with chronic hypoxemia caused by COPD
has just been admitted with increased shortness of
breath. For discharge planning, which of these
nursing actions will be most effective in improving
compliance with discharge teaching?
a) have the client repeat the instructions
immediately after the teaching
b) arrange for the client's spouse to be present
during the teaching
c) accomplish the client teaching just before the
scheduled discharge
d) start giving the client discharge teaching on the
day of admission Correct Answers b) arrange for
the clients spouse to be present during the
teaching
a nurse is applying a nitroglycerin ointment to a
client. When applying medication topically what is
the highest priority nursing intervention?
a) apply medication liberally
b) avoid contact of the medication with the nurses
skin
, c) massage the area
d) have client apply medication Correct Answers
b) avoid contact of the medication with the nurses
skin
a sterile field consists of which of the following?
a) a dressing tray opened according to procedure
b) a work surface cleansed with MRSA wipes
c) a table covered by a drape
d) a clients bedside table Correct Answers a) a
dressing tray opened according to procedure
After the nurse has administered ear drops to the
clients left ear, how should the nurse position the
client?
a) prone
b) upright
c) right lateral
d) dorsal recumbent with hyperextension off the
neck Correct Answers c) right lateral
all medication prepared for administration in the
eye should be specifically labeled for
_____________use only. Correct Answers opthalmic
an appropriate principle of surgical asepsis is that:
a) once a sterile package is opened the entire
surface area is considered sterile
b) all of the draped table, top to bottom, is
considered sterile