Quiz
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? -
ANS 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? - ANS 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? - ANS 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? - ANS "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? - ANS Delegating a PN to insert an indwelling urinary catheter
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 responsibility of