Fundamentals of Nursing Quiz 1

To use proper body mechanics while making an occupied bed for a client on bed rest, the nurse should A. Place the bed in a high horizontal position B. Make sure the side rails are down C. Ask the client to roll as far as possible onto her side D. Place the bed in semi-Fowler's position.

A. Place the bed in a high horizontal position This helps the nurse avoid excessive bending and stretching.

Which of the following should a group of community health nurses plan as part of a primary prevention program for occupational pulmonary diseases? A. Job rotation B. Elimination of the exposure C. Improved ventilation D. Screening tests for at-risk employees

B. Elimination of the exposure This action would e considered a primary prevention, as it intends to prevent the onset of the targeted disorder.

An assistive personnel says to the nurse, "This client is incontinent of stool three or four times a day. I get angry, and I think that the client is doing it just to get attention. I think we should put adult diapers on her." Which is the appropriate nursing response? A. "You are probably right. Soiling the bed is one way of getting the staff's attention." B. "Changing the bed and cleaning the client must be tiresome. Next time, I'll help you." C. "It is very upsetting to see an adult client regress." D. "I think you should try not to judge your client's behavior."

C. "It is very upsetting to see an adult client regress." this is the most therapeutic option, as it expresses empathy for both the AP and the client, as well as addressing the AP's anger

A nurse is caring for an older adult client who is confused and continually grabs at the nurses. Which of the following is an appropriate nursing action? A. Move the client to his room B. Apply restraints to the client's wrists C. Firmly tell the client not to grab D. Assign an assistive personnel (AP) to sit with the client

C. Firmly tell the client not to grab Setting limits by telling the client not to grab people is an effective way of dealing with this behavior.

Before donning gloves to perform a procedure, proper hand hygiene is essential. The nurse understands that the most important aspect of hand hygiene is the amount of A. Water B. Soap C. Friction D. Time

C. Friction Alcohol-based hand rubs or sanitizers are now recommended by the CDC for hand hygiene between clients in situations the hands are not visibly soiled. The hand rub is applied and the hands are rubbed briskly until dry. If traditional soap and water are used, friction also is the most important component for removing micro-organisms

A nurse is caring for a client who requires rectal temperature monitoring. Available at the client's bedside is a thermometer with a long, slender tip. Which of the following is the appropriate action for the nurse to take? A. Carefully insert the thermometer after lubricating the end B. Estimate the client's temperature via palpation C. Obtain a thermometer with a short, blunt insertion end D. Don gloves before using the thermometer available at the client's bedside

C. Obtain a thermometer with a short, blunt insertion end The thermometer that is available is an axillary or oral thermometer. It has a long, slender insertion end to provide more surface area contact with the tissues under the tongue or in the axilla. Because the bulb end is long and narrow rather than blunt, it has greater potential for injuring the client's rectal tissue. Instead, obtain a thermometer with a short, blunt insertion end, to minimize risk of injury.

A nurse at a screening clinic is assessing a client who reports a history of a heart murmur related to aortic valve stenosis. At which of the following anatomical areas should the nurse place the stethoscope to auscultate the aortic valve A. Fifth intercostal space just medial to the midclavicular line B. Second intercostal space to the left of the sternum C. Fifth intercostal space to the left of the sternum D. Second intercostal space to the right of the sternum

D. Second intercostal space to the right of the sternum The aortic valve is located in the second intercostal space to the right of the sternum.