VERSION UPDATED QUESTIONS AND ACCURATE
DETAILED ANSWERS WITH RATIONALES |ALREADY
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A nurse is preparing to insert a rectal suppository and observes
a small amount of rectal bleeding. What action should the
nurse implement?
A. insert the suppository very gently being careful not to
further injure the rectal bleeding. What action should the nurse
implement?
A. insert the suppository very gently being careful not to
further the rectal mucosa
B. withhold the administration of the suppository until
contacting the healthcare provider
C. administer the medication as scheduled after assessing the
client's vital signs
D. Ask the pharmacist to send an alternate from the prescribed
medication to the unit
B. withhold the administration of the suppository until
contacting the healthcare provider
A client with raynaud's disease asks the nurse about using
biofeedback for self- management of symptoms. What
response is best for the nurse to provide?
A. although biofeedback is easily learned, it is mostly often
,used to manage exacerbation of symptoms
B. biofeedback allows the client to control voluntary responses
to promote peripheral vasodilation
C. the responses to biofeedback have not been well established
and may be a waste of time and money
D. biofeedback requires extensive training to retain voluntary
muscles, not involuntary
B. biofeedback allows the client to control voluntary responses
to promote peripheral vasodilation
The nurse is preparing to irrigate a client's indwelling catheter
using an open technique. What action should the nurse take
after applying gloves?
A. Draw up the irrigating solution into the syringe
B. use aseptic technique to instill the irrigating solution
C. empty the client's urinary catheter
D. secure the client's catheter to the drainage tubing
A. Draw up the irrigating solution into the syringe
When assessing a client with an indwelling urinary catheter,
which observation requires the most immediate intervention
by the nurse?
A. there are no dependent loops in the drainage tubing
B. the clamp on the urinary drainage bag is open
C. the drainage tubing is secured over the siderail
D. the urinary drainage bag is attached to the bed frame
, B. the clamp on the urinary drainage bag is open
A 4-year old boy who is scheduled for a tonsillectomy and
adenoidectomy asks the nurse, " will it hurt to have my tonsils
and adenoids taken out?" Which response is best for the nurse
to provide?
a. "It won't hurt because you're such a big boy"
b. "It may hurt a little because of the incision made in your
throat"
c. "It won't hurt because we put you to sleep"
d. "It may hurt but we'll give you medicine to help you feel
better"
d. "It may hurt but we'll give you medicine to help you feel
better"
A low-sodium, low-protein diet is prescribed for a 45-year-old
client with renal insufficiency and hypertension, who gained 3
pounds in the last month. The nurse determines that the client
has been non compliant with the diet, based on which report
from the 24-hour dietary recall? (select all that apply)
A. bedtime snack of crackers and milk
B. breakfast of eggs, bacon, toast, and coffee
C. lunch of tuna fish sandwich, carrot sticks, fresh fruit, and
coffee
D. dinner of vegetable lasagna, tossed salad, sherbet, and iced
tea
E. snack of potato chips, and diet soda