. 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
... [Show More] following
instructions should the nurseinclude?
ANS: Use lower-body strength
RATIONALE: The nurse should instruct the AP to use lower-body strength
when liftinga client to reduce stress on the back
2. A nurse is participating in a quality improvement study about the
effectiveness of client pain management on the unit. Which of the
following strategies should the nurse use tocollect data?
ANS: Review clients' charts for their rating of pain before pain
medication wasadministered and 1 hr after administration
RATIONALE: The nurse should collect data from clients' charts about
pain ratingsbefore 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 theteaching?
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 diagnosis
4. A nurse is planning care for a client who has a history of seizures. Which of
the followingpieces 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 hasa 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
RATIONALE: Coronary artery disease is a contraindication to oral
contraceptive use because it increases the client's risk for myocardial
infarction. Other contraindications forreceiving 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 weights 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
sanguineousdrainage occ [Show Less]