Nursing Study Guide|100% Verified and
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A nurse is assessing a client with diarrhea. During physical examination, the
nurse inspects the abdomen. Which of the following would the nurse perform
next?
ANSWER:
Auscultation
When a client is diagnosed with a urinary tract infection, the nurse anticipates
that the client's urine will be
ANSWER:
Cloudy with an offensive odor
A nurse is caring for a client with primary constipation. Which of the following
factors is responsible for primary constipation?
ANSWER:
Inadequate intake of liquid
Primary constipation results from lifestyle factors such as insufficient fluid
intake, inadequate intake of fiber, inactivity, or ignoring the urge to defecate.
A patient with terminal cancer is taking high doses of a narcotic for pain. The
nurse will teach the patient or family about what common side effect of opioids?
ANSWER:
,Constipation
Upon assessment of the urine in a patient's indwelling urinary catheter drain
bag, the nurse notes the urine to be dark yellow. This assessment finding
indicates which of the following?
ANSWER:
The patient is underhydrated.
Urinary catheterization is the most common cause of hospital acquired
infection.
True/False
ANSWER:
True
You are attempting to insert a urinary catheter into a female patient's bladder
and realize the catheter has been inserted into the vagina. Which of the
following actions is most appropriate?
ANSWER:
Leave the catheter in place as a marker and attempt to insert a new sterile
catheter directly above the misplaced catheter.
When educating an elderly client on the prevention of constipation, the nurse
should provide which of the following educational interventions?
ANSWER:
Increase intake of fresh vegetables
Besides using the medical records, which form of communication should the
nurse use to provide client details to the health care team coming on duty in the
next shift?
ANSWER:
, Change of shift reports
A change of shift report is a discussion between health care team members
leaving their shift
health care team members coming on duty for the next shift. It includes a
summary of each client's condition and current status of care.
A client will be transferred from the surgical unit to the rehabilitation unit for
further care. Which of the following would the nurse expect to include when
preparing the verbal handoff report?
ANSWER:
Current client assessment
When taking a telephone order from a physician, the nurse verifies that he or
she understands the order by:
ANSWER:
Repeating the order back to the physician.
A nurse at a health care facility has just reported for duty. Which of the following
should the nurse do to ensure maximum efficiency of change-of-shift reports?
ANSWER:
Come prepared with material required to take notes.
A nurse is requesting to receive change of shift report at the bedside of each
client. The nurse giving the report asks about the purpose of giving report at the
bedside. Which response by the nurse receiving report is most appropriate?
ANSWER:
"It will allow for us to see the client and possibly increase client participation in
car