GUIDE 2026 | VERIFIED ANSWERS | 100%
CORRECT | GRADED A+| PASS
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The client is hospitalized for the first time. Which of the following actions would
the nurse take to ensure the safety of the client? - ANSWER Keep unnecessary
furniture out of the way
After correctly positioning a client for a urinary catheterization procedure, the
nurse sets up a sterile field and places the kit supplies on the area. The nurse hears
a page to respond to another client who has fallen in the hallway. Which of the
following would be the most appropriate nursing actions? - ANSWER Ensure
the client's safety, discard the sterile equipment, and respond to the other client.
A patient's stool specimen is positive for Clostridium difficile. Which isolation
precautions should the nurse institute for this patient? - ANSWER Contact
A nurse is following the principles of medical asepsis when performing patient
care in a hospital setting. Which nursing action performed by the nurse follows
these recommended guidelines? - ANSWER The nurse moves the patient table
away from the nurse's body when wiping it off after a meal
The nurse has opened the sterile supplies and put on two sterile gloves to complete
a sterile dressing change, a procedure that requires surgical asepsis. Which action
,by the nurse is appropriate? - ANSWER Consider the outer 1 in of the sterile
field as contaminated.
The nurse caring for patients in a hospital setting institutes CDC standard
precaution recommendations for which category of patients? - ANSWER All
patients receiving care in hospitals
A nurse must make an unoccupied bed. Which nursing action is most important? -
ANSWER Ensure that the bottom of the sheet is free of wrinkles
The nurse is providing hygiene to a patient with peripheral neuropathy. The nurse
should: - ANSWER Wash the feet with lukewarm water and dry well.
A nurse is providing for the hygiene and grooming needs of an obese patient who
easily becomes short of breath when moving about. Which is the most important
nursing intervention? - ANSWER Assessing response to activity
A client who is unconscious needs frequent mouth care. While performing mouth
care, the nurse takes care to place the client in which of the following positions? -
ANSWER Side-lying
Which action would the nurse take to use a wide base of support when assisting a
client to get up from a chair? - ANSWER Spread the feet shoulder-width apart
before touching the client.
, The nurse is preparing to assist with the ambulation of an older adult client who
was on bed rest for three days. Which of the following actions should the nurse
take to decrease the risk of a fall? - ANSWER Use a gait belt during ambulation
A client uses a cane to assist with ambulation. After teaching the client how to use
a cane, the client makes the following statements. Which one indicates to the nurse
the need for additional teaching? - ANSWER "I should hold the cane on my
weaker side."
An emancipated patient is at risk for developing a pressure ulcer. In which position
should the nurse avoid placing the patient? - ANSWER Side lying
The nurse identifies that a patient's pressure ulcer has just partial-thickness skin
loss involving the epidermis and dermis. What stage pressure ulcer should the
nurse document based on this assessment? - ANSWER Stage 2
The nurse is assessing several clients with different types of injuries. The nurse
would conclude that the client who is least likely to develop a wound infection
would be the client with which of the following? - ANSWER A contusion
A client with a urinary catheter in place complains of discomfort in the bladder
and the urethra. What should the nurse do first? - ANSWER Check the patency
of the catheter and tubing
The nurse is assessing the urine of a client with a urinary tract infection. Which of
these characteristics should the nurse assess for a patient with a UTI? -
ANSWER Clarity
, The nurse teaches a client measures to avoid complications associated with urinary
elimination. Which of the following indicates to the nurse that the expected
outcome is achieved? The client: - ANSWER Incentivizes symptoms of and
measures to prevent urinary tract infection
The client complains of pain as the nurse is inflating the balloon during insertion
of a Foley catheter. The nurse should take which immediate action? -
ANSWER Aspirate the fluid, advance the catheter farther, and reinflate the
balloon.
Through the prevention of postoperative complications, the nurse promotes rapid
convalescence. Which of the following would be most indicative of a potential
postoperative complication in a client that requires further observation? -
ANSWER Urinary output of 20 mL/hr over 2 hours
Which nursing intervention for catheter care should have the highest priority? -
ANSWER Cleaning the area around the urethral meatus
The client who is in Bucks traction is constipated. A plan of care that incorporates
which breakfast would be the most helpful in reestablishing a normal bowel
routine? - ANSWER an orange, raisin bran, milk, and wheat toast with butter
An elderly client asks the nurse how to treat chronic constipation. What is the best
recommendation the nurse can make? - ANSWER Take a stool softener such as
docusate sodium (Colace) daily.