RN Fundamentals Online Practice 2019 A (4/4)

correct cane usage: to main balance, the client should advance the cane about ___ at a time

15-30 cm (6-12 in)

complementary and alternative therapy that can help improve disorders and can have wound healing effects

aloe

the nurse should use their (arm and leg/back) muscles when lifting a heavy object

arm and leg

A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority? a. Request that a respiratory therapist discuss the technique for incentive spirometry with the client b. Determine the reasons why the client is refusing to use the incentive spirometer c. Document the client's refusal to participate in health restorative activities d. Administer a pain medication to the client

b. Determine the reasons why the client is refusing to use the incentive spirometer

when assessing an adult client's abdomen, the nurse should auscultate bowel sounds (after/before) performing palpation

before

complementary and alternative therapy used to assist clients with stroke recovery, smoking cessation, headaches, and many other disorders

biofeedback

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 bracelet 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

c. Compare the client's home medications with the provider's prescriptions

the nurse should inform the client that ___ or any ___ is a contraindication for the use of acupuncture

herpes zoster, skin infection

the nurse should bend at the ___ when lifting a heavy object

knees

dressing used to promote healing in stage 1 pressure injuries

transparent

dressings that promote healing by preventing further friction and shearing

transparent

correct cane usage: the client should move their (stronger/weaker) leg forward with the cane

weaker

the FLACC pain rating scale is used for clients aged:

2 months-7 years

the nurse should use a blood pressure cuff with a bladder that surrounds ___ of the client's arm circumference to give an accurate reading

80%

___ is a contraindication for taking feverfew

anticoagulant therapy

A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following types of role-performance stress? a. Role ambiguity b. Sick role c. Role overload d. Role conflict

c. Role overload

complementary and alternative therapy that helps promote wound healing

feverfew

correct cane usage: the top of the cane should be parallel to the clients:

greater trochanter

dressing used to promote healing in stage 2 pressure injuries

hydrocolloid

dressings that promote healing by creating a moist wound bed

hydrocolloid

comparing the client's home medications with the provider's prescriptions

medication reconciliation

the nurse should keep their feet (close together/spread apart) when lifting a heavy object

spread apart

correct cane usage: the client should hold the cane on the (stronger/weaker) side of the body

stronger

administer an analgesics ___ before changing a client's dressing if they are in significant pain

30-60 minutes

dressing that forms a soft gel when it comes into contact with drainage

alginate

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

d. Hydrocolloid

contact precautions require: (3)

gown, gloves, private room

occurs when people are unclear about the expectations of their role in a given situation

role ambiguity

develops when a person must assume multiple roles that have opposing expectations

role conflict

having more responsibilities within a role than one person can manage

role overload

A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching? a. Use the complete name of the medication magnesium sulfate b. Delete the space between the numerical dose and the unit of measure c. Write the letter U when noting the dosage of insulin d. Use the abbreviation SC when indicating an injection

a. Use the complete name of the medication magnesium sulfate

dressing used to treat stage 3 and 4 pressure injuries

alginate

A client who is postoperative is verbalizing pain as a 2 on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management? a. I think I should take my pain medication more often, since it is not controlling my pain b. Breathing faster will help me keep my mind off of the pain c. It might help me to listen to music while I'm lying in bed d. I don't want to walk today because I have some pain

c. It might help me to listen to music while I'm lying in bed

A nurse is evaluating a client's use of a cane. Which of the following actions should the nurse identify as an indication of correct use? a. The top of the cane is parallel to the client's waist b. When walking, the client moves the cane 46 cm (18 in) forward c. The client holds the cane on the stronger side of her body d. The client moves her stronger limb forward with the cane

c. The client holds the cane on the stronger side of her body

the nurse should place the stethoscope at the point of maximal impulse, which is at the ___ at the:

fifth intercostal space, midclavicular line left of the sternum

dressing that promotes healing by causing debridement and allowing granulation of the wound bed

gauze

dressing used to promote healing in stage 4 or unstable pressure injuries

gauze

precautions: clients who have a compromised immune system

protective environment

A nurse is caring for a client who is postoperative. When the nurse prepares to change her dressing, she says, "Every time you change my bandage, it hurts so much." Which of the following interventions is the nurse's priority action? a. Encourage the client to relax and take deep breaths during the dressing change b. Educate the client about the importance of the dressing change to prevent infection c. Assist the client to a comfortable position for the dressing change d. Administer pain medication 45 min before changing the client's dressing

d. Administer pain medication 45 min before changing the client's dressing

A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate? a. Protective environment b. Airborne precautions c. Droplet precautions d. Contact precautions

d. Contact precautions

A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent self-injury, which of the following actions should the nurse take when lifting this object? a. Bend at the waist b. Keep his feet close together c. Use his back muscles for lifting d. Stand close to the cabinet when lifting it

d. Stand close to the cabinet when lifting it

A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should the nurse implement for this client? a. Have the client wear a mask when receiving visitors b. Limit the client's time with visitors to no more than 30 min per day c. Assign the client to a room with negative-pressure airflow exchange d. Wear a gown when caring for the client

d. Wear a gown when caring for the client

refers to the expectations placed on the individual who has the alteration in health, rather than the caregiver

sick role

A nurse is assessing four adult clients. Which of the following physical assessment techniques should the nurse use? a. Use the Face, Legs, Activity, Cry, and Consolability (FLACC) pain rating scale for a client who is experiencing pain b. Ensure the bladder of the blood pressure cuff surrounds 80% of the client's arm c. Obtain an apical heart rate by auscultating at the third intercostal space left of the sternum d. Palpate the client's abdomen before auscultating bowel sounds

b. Ensure the bladder of the blood pressure cuff surrounds 80% of the client's arm

A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly discusses treatment options and leaves the client's room. When the nurse asks if the client would like to discuss any concerns, the client declines. Which of the following statements should the nurse make? a. I will return shortly after I document this in your record b. Most men live a long time with prostate cancer c. I am available to talk if you should change your mind d. I will make a referral to a cancer support group for you

c. I am available to talk if you should change your mind

A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies? a. Biofeedback b. Aloe c. Feverfew d. Acupuncture

d. Acupuncture