Basics Of Nursing Practice – Q&A Verified
A hospitalized client is scheduled to have a sigmoidoscopy. The nurse
anticipates that pre-procedure prescriptions will include:
1.Providing instructions about restraints used during the procedure.
2.Administering a fleet enema 1 hour before the procedure.
3.Encouraging increased intake of clear fluids.
4.Administering morphine 30 minutes before the procedure. ✔️Ans -
2.Administering a fleet enema 1 hour before the procedure.
A 2-year-old child admitted with a diagnosis of pneumonia was administered
antibiotics, fluids, and oxygen. The child's temperature increased until it
reached 103° F. When notified, the health care provider determined that there
was no need to change treatment, even though the child had a history of
febrile seizures. Although concerned, the nurse took no further action. Later,
the child had a seizure that resulted in neurological impairment. Legally, who
is responsible for the child's injury?
1.Health care provider, because this decision took precedence over the nurse's
concern
Incorrect
2.Health care provider, because of total responsibility for the child's health
and treatment regimen
3.Nurse, because failure to further question the health care provider about the
child's status placed the child at risk
4.Neither, because high fevers are common in children and the health care
provider had little cause for concern ✔️Ans - 3.Nurse, because failure to
further question the health care provider about the child's status placed the
child at risk
The nurse recognizes that the mental process most sensitive to deterioration
with aging is:
1.Judgment
2.Intelligence
3.Creative thinking
4.Short-term memory ✔️Ans - 4.Short-term memory
, Following a surgery on the neck, the client asks the nurse why the head of the
bed is up so high. The nurse should tell the client that the high-Fowler
position is preferred for what reason?
1.To avoid strain on the incision
2.To promote drainage of the wound
3.To provide stimulation for the client
4.To reduce edema at the operative site ✔️Ans - 4.To reduce edema at the
operative site
A client is placed on a stretcher and restrained with straps while being
transported to the x-ray department. A strap breaks, and the client falls to the
floor, sustaining a fractured arm. Later the client shows the strap to the nurse
manager, stating, "See, the strap is worn just at the spot where it snapped."
What is the nurse's accountability regarding this incident?
1.Exempt from any lawsuit because of the doctrine of respondeat superior
2.Totally responsible for the obvious negligence because of failure to report
defective equipment
3.Liable, along with the employer, for misapplication of equipment or use of
defective equipment that harms the client
4.Exonerated, because only the hospital, as principal employer, is responsible
for the quality and maintenance of equipment ✔️Ans - 3.Liable, along with
the employer, for misapplication of equipment or use of defective equipment
that harms the client
As a nurse prepares an older adult client for sleep, actions are taken to help
reduce the likelihood of a fall during the night. What nursing action is most
appropriate when targeting older adults' most frequent cause of falls?
1.Moving the client's bedside table closer to the bed.
2.Encouraging the client to take an available sedative.
3.Instructing the client to call the nurse before going to the bathroom.
4.Assisting the client to telephone home to say goodnight to the spouse
✔️Ans - 3.Instructing the client to call the nurse before going to the bathroom.
A nurse considers that communication links people with their surroundings.
What should the nurse identify as the most important communication link?
A hospitalized client is scheduled to have a sigmoidoscopy. The nurse
anticipates that pre-procedure prescriptions will include:
1.Providing instructions about restraints used during the procedure.
2.Administering a fleet enema 1 hour before the procedure.
3.Encouraging increased intake of clear fluids.
4.Administering morphine 30 minutes before the procedure. ✔️Ans -
2.Administering a fleet enema 1 hour before the procedure.
A 2-year-old child admitted with a diagnosis of pneumonia was administered
antibiotics, fluids, and oxygen. The child's temperature increased until it
reached 103° F. When notified, the health care provider determined that there
was no need to change treatment, even though the child had a history of
febrile seizures. Although concerned, the nurse took no further action. Later,
the child had a seizure that resulted in neurological impairment. Legally, who
is responsible for the child's injury?
1.Health care provider, because this decision took precedence over the nurse's
concern
Incorrect
2.Health care provider, because of total responsibility for the child's health
and treatment regimen
3.Nurse, because failure to further question the health care provider about the
child's status placed the child at risk
4.Neither, because high fevers are common in children and the health care
provider had little cause for concern ✔️Ans - 3.Nurse, because failure to
further question the health care provider about the child's status placed the
child at risk
The nurse recognizes that the mental process most sensitive to deterioration
with aging is:
1.Judgment
2.Intelligence
3.Creative thinking
4.Short-term memory ✔️Ans - 4.Short-term memory
, Following a surgery on the neck, the client asks the nurse why the head of the
bed is up so high. The nurse should tell the client that the high-Fowler
position is preferred for what reason?
1.To avoid strain on the incision
2.To promote drainage of the wound
3.To provide stimulation for the client
4.To reduce edema at the operative site ✔️Ans - 4.To reduce edema at the
operative site
A client is placed on a stretcher and restrained with straps while being
transported to the x-ray department. A strap breaks, and the client falls to the
floor, sustaining a fractured arm. Later the client shows the strap to the nurse
manager, stating, "See, the strap is worn just at the spot where it snapped."
What is the nurse's accountability regarding this incident?
1.Exempt from any lawsuit because of the doctrine of respondeat superior
2.Totally responsible for the obvious negligence because of failure to report
defective equipment
3.Liable, along with the employer, for misapplication of equipment or use of
defective equipment that harms the client
4.Exonerated, because only the hospital, as principal employer, is responsible
for the quality and maintenance of equipment ✔️Ans - 3.Liable, along with
the employer, for misapplication of equipment or use of defective equipment
that harms the client
As a nurse prepares an older adult client for sleep, actions are taken to help
reduce the likelihood of a fall during the night. What nursing action is most
appropriate when targeting older adults' most frequent cause of falls?
1.Moving the client's bedside table closer to the bed.
2.Encouraging the client to take an available sedative.
3.Instructing the client to call the nurse before going to the bathroom.
4.Assisting the client to telephone home to say goodnight to the spouse
✔️Ans - 3.Instructing the client to call the nurse before going to the bathroom.
A nurse considers that communication links people with their surroundings.
What should the nurse identify as the most important communication link?
