A client with acute asthma is experiencing inspiratory and expiratory wheezing, and decreased forced expiratory
volume. What is the nurse’s priority
... [Show More] intervention?
You Selected:
• Bronchodilators
Correct response:
• Bronchodilators
Explanation:
Bronchodilators are the first line of treatment for asthma because bronchoconstriction is the cause of reduced
airflow. Beta-adrenergic blockers aren’t used to treat asthma, and can cause bronchoconstriction. Inhaled or oral
steroids may be given to reduce inflammation but aren’t used for emergency relief.
Remediation:
• Asthma
Question 2 See full question 1m 33s
A nurse preceptor is observing a new graduate during care of a client in contact isolation. Which action by the new
graduate indicates a need for further teaching about handling infectious materials?
You Selected:
• The nurse uses alcohol gel to clean her hands after changing linen soiled with urine and feces.
Correct response:
• The nurse uses alcohol gel to clean her hands after changing linen soiled with urine and feces.
Explanation:
Using alcohol gel isn't acceptable after the nurse has been in contact with soiled material. The nurse should wash her
hands with soap and water. The nurse demonstrates appropriate handling of infectious materials by wearing gloves
with each client contact, washing her hands with soap and water when she enters and exits the room, and disposing
contaminated articles in the room's biohazard container.
Remediation:
• Contact Precautions
• Isolation Garb, Donning
Question 3 See full question 46s
A nurse is communicating with a client who has aphasia after having a stroke. Which action should the nurse take?
You Selected:
• Face the client and establish eye contact.
Correct response:
• Face the client and establish eye contact.
Explanation:
When speaking with a client who has aphasia, the nurse should face the client and establish eye contact. The nurse
should use short phrases, not one long sentence, and give the client time between phrases to understand what is
being said. Keeping extraneous and background noise such as the television to a minimum helps the client
concentrate on what is being said. It isn't necessary to speak in a louder or softer voice than normal.
Remediation:
• Aphasia (Dysphasia)
Question 4 See full question 3m 7s
A nurse working on a new unit is required to administer an unfamiliar medication to a client. How should the nurse
proceed with the medication administration?
You Selected:
• Consult a formulary or drug handbook to learn about the medication.
Correct response:
• Consult a formulary or drug handbook to learn about the medication.
Explanation:
Before administering a medication, the nurse must be knowledgeable of the action, distribution, metabolism,
expected response, and any side or adverse effects of the drug. A formulary guide or drug handbook can provide the
necessary information. The other answers do follow the guidelines for administering medication safely.
Question 5 See full question 41s
A home health nurse is visiting a 74-year-old client with Alzheimer's disease. During the visit, the nurse notes bruising
on the client's upper arms, and the client is more withdrawn than normal. The client is unable to communicate
effectively because of his disease progression. The nurse suspects elder abuse. What is the nurse's responsibility in
this situation?
You Selected:
• Report the suspicion to the local agency on aging within 24 hours of the visit.
Correct response:
• Report the suspicion to the local agency on aging within 24 hours of the visit.
Explanation:
The nurse must report the suspicion to the local agency on aging within 24 hours of the visit. Doing nothing and
monitoring the situation during subsequent visits go against the nurse's legal and professional obligation, which is to
report suspected abuse when it occurs. The client's disease process prevents him from reporting the problem.
Remediation:
• Suspected Elder Abuse, Recognizing And Reporting, Ambulatory Care
Question 6 See full question 33s
A client with fever and urinary urgency must provide a urine specimen for culture and sensitivity. The nurse should
instruct the client to collect the specimen from the:
You Selected:
• middle stream of urine from the bladder.
Correct response:
• middle stream of urine from the bladder. [Show Less]