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_____________Quiz____________? A nurse is replacing the surgical dressings on a client who had abdominal surgery. Which of the following actions should the nurse take? -
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Don clean gloves to remove the old dressing _____________Quiz____________? A nurse is caring for a client who had a mastectomy and has a self-suctioning drainage evacuator in place. Which of the following actions should the nurse take to ensure proper operation of the device? -
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Collapse the device of air after emptying _____________Quiz____________? A nurse is collecting a urine specimen for culture and sensitivity for a client who has a urinary tract infection. The client has an indwelling urinary catheter in place. Which of the following actions should the nurse take? -
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Clamp the tubing below the collection port _____________Quiz____________?
A nurse is providing teaching to a group of unit nurses about wound healing by secondary intention. Which of the following information should the nurse include in the teaching? -
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Granulation tissue fills the wound during healing _____________Quiz____________? A nurse is providing teaching to a client who has a new colostomy about proper care. Which of the following information should the nurse include in the teaching? -
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Cleanse the skin around the stoma with warm water _____________Quiz____________? A nurse is helping a client change his hospital gown. The client has an IV infusion on an infusion pump. Which of the following actions should the nurse take first? -
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Remove the sleeve of the gown from the arm without the IV line _____________Quiz____________? A nurse is changing the dressings for a client who has two Penrose drains near an abdominal incision. Which of the following adhering devices is the best choice for the nurse to use to decrease skin irritation? -
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Montgomery straps _____________Quiz____________? A nurse is preparing to administer an intramuscular injection to a client who is overweight. Which of the following sites should the nurse select for the injection? -
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The side hip between the iliac crest and anterior iliac spine
_____________Quiz____________? A nurse is caring for an older adult client who has dysphagia following a cerebrovascular accident. Which of the following actions should the nurse take when assisting the client at mealtime? -
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Offer the client tart or sour foods first (to stimulate saliva production) _____________Quiz____________? A nurse is applying antiembolitic stockings for a client who has a history of DVT. Which of the following actions should the nurse take when applying the stockings? -
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Turn the stockings inside out up to the heel before applying _____________Quiz____________? A nurse is assisting a client who is eating at mealtime. The client grabs her neck with both hands and appears frightened. Which of the following actions should the nurse take first? -
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Determine whether the client is able to breathe _____________Quiz____________? A nurse is preparing to assist with ambulation of an older adult client who was on bed rest for 3 days. Which of the following actions should the nurse take to decrease the risk of a fall? -
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Use a gait belt during ambulation _____________Quiz____________? A nurse is caring for a client who has a history of dysrhythmias. Upon entering the room, the nurse discovers the client is unresponsive to verbal or painful stimuli, has no respirations, and is pulseless. Which of the following actions should the nurse take first? -
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Start chest compressions _____________Quiz____________? A nurse is planning to collect a stool specimen for ova and parasites from a client who has diarrhea. Which of the following actions should the nurse take when collecting the specimen? -
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Place the stool specimen collection container in a biohazard bag. _____________Quiz____________? A nurse is performing suctioning for a client who has a tracheostomy. Which of the following actions should the nurse take? -
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Pull suction catheter back 1 cm (0.5 in) if the client starts coughing _____________Quiz____________? A nurse is teaching a client who is recovering from gallbladder surgery how to use an incentive spirometer. Which of the following information should the nurse include in the teaching? -
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Hold breath for 5 seconds after goal volume is reached _____________Quiz____________? A nurse is changing the bed linens for a client who is on bed rest. Which of the following actions should the nurse plan to take? -
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Hold the linens away from the body and clothing _____________Quiz____________?
Lower abdomen (or upper aspect of the thigh to eliminate the penoscrotal angle and prevent tissue injury) _____________Quiz____________? A nurse is caring for a toddler at a well-child visit when the mother calls to the nurse, "Help! My baby is choking on his food." Which of the following findings indicates the toddler has an airway obstruction? -
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Inability of the toddler to cry or speak _____________Quiz____________? A nurse is planning care for a client who has a prescription for collection of a sputum specimen for culture and sensitivity. Which of the following actions should the nurse take when obtaining the specimen? -
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Collect the specimen upon arising in the morning _____________Quiz____________? A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal area. Which of the following actions should the nurse take first? -
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Check the clients perineum _____________Quiz____________? A nurse is changing the dressings for a client who is 3 days postoperative following a cholecystectomy. The nurse observes yellow, thick drainage on the dressing. The nurse should document this finding as which of the following types of drainage? -
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Purulent exudate _____________Quiz____________?
A nurse is planning care for a client who is confused and requires a prescription for wrist restraints. Which of the following interventions should the nurse include in the plan of care?
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Renew the prescription for the use of restrains within 24 hr _____________Quiz____________? A nurse is planning care for an adult client who has fluid volume excess. Which of the following interventions should the nurse plan to include to monitor the client's weight? -
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Weigh the client on arising (after voiding, before breakfast) _____________Quiz____________? A nurse is caring for a client who has a hearing impairment. Which of the following interventions should the nurse use when speaking with the client? -
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Face the client when speaking _____________Quiz____________? A nurse is preparing to administer eye drops to a client following surgery. Which of the following actions should the nurse take when instilling the eye drops? -
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Drop the eye medication in the outer third of the lower conjunctival sac _____________Quiz____________? A nurse is planning to administer pain medication to a client who has pain following abdominal surgery. Which of the following actions should the nurse take first? -
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Use the pain scale to determine the client's pain level
