1. A nurse is reviewing the techniques for transferring a client from a bed to a chair with
a group of assistive personnel (AP). Which of the following
... [Show More] instructions should the nurse
include?
ANS: Use lower-body strength
RATIONALE: The nurse should instruct the AP to use lower-body strength when lifting a client to
reduce stress on the back
2. A nurse is participating in a quality improvement study about the effectiveness of
client pain management in the unit. Which of the following strategies should the nurse
use to collect data?
ANS: Review clients' charts for their rating of pain before pain medication was administered and
1 hr after administration
RATIONALE: The nurse should collect data from clients' charts about pain ratings before and
after pain management interventions
3. A nurse is reinforcing teaching about confidentiality with a client who has a new
diagnosis of HIV. Which of the following information should the nurse include in the
teaching?
ANS: "Your HIV status will be shared with members of your health care team."
RATIONALE: The diagnosis of HIV or AIDS is shared with every member of the healthcare team
who provides direct care for the client, just like any other diagnoses
4. A nurse is planning care for a client who has a history of seizures. Which of the
following pieces of equipment should the nurse place in the client's room?
ANS: Suction catheter
RATIONALE: The nurse should place suction equipment in the room of a client who has a
history of seizures. During a seizure, the client might have excessive oral secretions or might
vomit. If the client's airway becomes occluded, then the nurse will need to suction the oral cavity
to maintain a patent airway
5. A nurse in a provider's office is reviewing the medical record of a client who requests a
prescription for an oral contraceptive. Which of the following findings should the nurse
identify as a contraindication for oral contraceptive use?
ANS: Coronary artery disease
topsgrades
RATIONALE: Coronary artery disease is a contraindication to oral contraceptive use because it
increases the client's risk for myocardial infarction. Other contraindications for receiving oral
contraceptives include gallbladder disease, breast cancer, and hypertension\
6. A nurse is assisting with the care of a school-age child immediately following surgery.
The child weighs 21.8 kg (48 lb) and has a chest tube applied to suction. Which of the
following findings should the nurse report to the provider?
ANS: 250 mL of sanguineous drainage over the last 3 hr
RATIONALE: The nurse should recognize that if more than 3 mL/kg/her of sanguineous
drainage occurs for more than 3 consecutive hours following surgery, it can indicate active
hemorrhaging. Therefore, 250 mL of sanguineous drainage from the child's chest tube is
excessive and the nurse should report this finding to the provider immediately
7. A nurse is collect [Show Less]