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A nurse is evaluating the effectiveness of nursing interventions for meeting
the nutrient needs of clients during the first 2 days after abdominal surgery.
Which outcome is most important? - ANSWER Fluid and electrolytes are
balanced
Which is the next most important assessment made by the nurse
after ensuring postoperative client has a patent airway? -
ANSWER Stability of the vital signs
A client's perineal area must be examined by the primary healthcare
provider prior to surgery. In which position should the nurse place the client
for this physical assessment? - ANSWER
Lithotomy
A nurse is caring for two clients. One of the clients has a Jackson-Pratt
drain and the other client has a Hemovac drain. Which does the nurse
understand is the difference between these two drains? - ANSWER The
size of the collection container
A nurse is teaching a client how to self-administer insulin. Which
of the following actions should the nurse take to evaluate the
client's understanding of the process within the psychomotor
domain of learning? - ANSWER Have the client demonstrate the
procedure
A nurse is preparing to administer a cleansing enema to a client.
Which of the following actions should the nurse plan to take? -
ANSWER Position the client on his left side
A client who reports shortness of breath requests her nurse's
, help in changing positions. After repositioning the client, which of
the following actions should the nurse take next? - ANSWER
Observe the rate, depth, and character of the client's respirations
A nurse is caring for a client who has bilateral casts on her hands. Which
of the following actions should the nurse take when assisting the client with
feeding? - ANSWER Sit at the bedside while feeding the client
A nurse is caring for a client who, while sitting in a chair, starts to
experience a seizure. Which of the following actions should the
nurse take - ANSWER Lower the client to the floor and place a
pad under the client's head
A home health nurse is planning to provide health promotion activites for a
group of clients in the community. Which of the following activities is an
example of the nurse promoting primary
prevention? - ANSWER Education clients about the recommended
immunization schedule for adults
An AP is assisting a nurse with the care of a female client who has an
indwelling urinary catheter. Which of the following actions by the AP
indicates a need for further teaching? - ANSWER The
AP hangs the collection bag at the level of the bladder
A nurse is performing a neurological assessment for a client. Which of the
following examinations should the nurse use to check the client's balance?
- ANSWER Romberg test
A nurse is providing discharge teaching to a client who is recovering from
lung cancer. which of the following activities should the nurse recommend
to the client? - ANSWER Washing dishes
A nurse is planning to perform passive range-of-motion exercises for a
client. Which of the following actions should the nurse take?