1. A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify
... [Show More] as a potential indication of a skin malignancy?
a. A lesion with uniform pigmentation
b. New appearance of petechiae
c. A mole with asymmetrical appearance
d. The presence of a papule
2. A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the client’s pain?
a. “Is your pain constant or intermittent?”
b. “What would you rate your pain on a scale of 0 – 10?”
c. “Does the pain radiate?”
d. “Is your pain sharp or dull?”
3. A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation?
a. Verify the client’s name on their identification bracelete with the medication administration record.
b. Call the pharmacy to determine whether the client’s medications are available. c. Compare the client’s home medications with the provider’s prescriptions.
d. Place the client’s home medication bottles in a secure location.
4. A nurse is auscultating the anterior chest of a client who has newly admitted to a medical-surgical unit. Listen to the audio clip of what the nurse auscultates through the stethoscope and identify the type of breath sounds.
a. Normal breath sounds.
5. A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take?
a. Administer the medications with the needle at a 45 degree angle.
b. Administer the medication into the client’s nondominant arm.
c. Pull the client’s skin laterally or downward prior to administration.
d. Massage the injection site after administration.
6. A nurse is using an open irrigation technique to irrigate a client’s indwelling urinary catheter. Which of the following actions should the nurse take?
a. Place the client in a side-lying position.
b. Instill 15 mL of irrigation fluid into the catheter with each flush.
c. Subtract the amount of irrigant used from the client’s urine output.
d. Perform the irrigation using a 20-mL syringe.
7. A nurse is preparing to apply a dressing for a client who has a stage 2 pressure injury. Which of the following types of dressing should the nurse use?
a. Alginate
b. Gauze
c. Transparent d. Hydrocolloid
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