Prep U mistakes
A client asks why a drain is in place to pull fluid from the surgical wound. What is the best response by the nurse? a. "It assists in preventing infection." b. "It will cut down on the number of dressing changes needed." c. "The drain will remove necrotic tissue." d, "Most surgeons use wound drains now."
a
A nurse is assessing a client with bone cancer pain. Which part of a thorough pain assessment is most significant for this client? a. intensity b. cause c. aggravating factors d. location
a
The nurse is assessing a client who is suspected of being in the early symptomatic stages of human immunodeficiency virus (HIV) infection. Which indication of infection should the nurse detect during this stage? a. whitish yellow patches in the mouth b. dyspnea c. bloody diarrhea d. raised, hyperpigmented lesions on the legs
a
The nurse is assessing a patient complaining of severe pain. What physiologic indicator does the nurse recognize as significant of acute pain? a. Diaphoresis b. Bradycardia c. Hypotension d. Decreased respiratory rate
a
The nurse is preparing a community presentation on oral cancer. Which is a primary risk factor for oral cancer that the nurse should emphasize in the presentation? a. use of alcohol b. frequent use of mouthwash c. lack of vitamin B12 d. lack of regular teeth cleaning by a dentist
a
A client has an abnormal result on a Papanicolaou test. The client asks the nurse what dysplasia means. Which definition should the nurse provide?
alteration in the size, shape, and organization of differentiated cells
A client is reporting her pain as "8" on a 0-to-10 pain intensity scale. Then, the client states the pain is "3." Before the nurse leaves the room, the client states her pain is "6." The best action of the nurse is to a. Obtain a pain scale with faces for the client to measure her pain. b. Average the numbers and report that number as the client's level of pain. c. Medicate the client for pain based on the highest number of "8." d. Record each of the numbers the client stated for her pain.
b
A nurse applies standard precautions when caring for a client with human immunodeficiency virus (HIV). The nurse takes what action when applying standard precautions? a. wearing gloves when helping client dress b. providing a dedicated commode at bedside c. wearing gloves for providing mouth care d. gowning and gloving for intravenous insertion
c
The nurse is evaluating the laboratory results of a client who was recently admitted to the hospital. Which result indicates the presence of inflammation? a. decreased sedimentation rate b. thrombocytopenia c. leukocytosis d. erythrocytosis
c. Leukocytosis, an increased white blood cell count, indicates the presence of inflammation, infection, or a leukemia process
A client with allergic rhinitis asks the nurse what to do to decrease rhinorrhea. Which instruction would be appropriate for the nurse to give the client? a. "Use your nasal decongestant spray regularly to help clear your nasal passages." b. "Ask the health care provider for antibiotics. Antibiotics will help decrease the secretion." c. "It is important to increase your activity. A daily brisk walk will help promote drainage." d. "Keep a diary of when your symptoms occur. This can help you identify what precipitates your attacks."
d
During the preoperative assessment, the client mentions allergies to avocados, bananas, and hydrocodone. What is the priority action by the nurse? a. Notify the physician regarding postoperative pain medications. b. Notify the dietary department. c. Notify the nurse manager to follow up on the procedure. d. Notify the surgical team to remove all latex-based items.
d
Airborne precautions need what type of room
negative pressure
