Nurse Logic: Testing and Remediation (Beginner)
A nurse is assisting with the admission of a client who is scheduled for a surgical procedure. The nurse administers a prescribed dose of lorazepam (Ativan) preoperatively. Which of the following statements by the client indicates the medication has been effective?
"I feel really relaxed"
To prepare an IM injection to an adult with a BMI of 30, what needle length is appropriate to use in the ventrogluteal muscle?
1 1/2 inches
Identify the sequence of actions the client should be taught when using a modified 3-point crutch gait.
1. Bear weight on the unaffected leg. 2. transfer weight to crutches 3. advances the unaffected leg between the crutches 4. shift weight from crutches to the unaffected leg 5. aligns crutches on the stair
A nurse in a provider's office is reinforcing teaching to the parents of a child who has allergies and is prescribed diphenhydramine (benadryl) 25 mg every 6 hr as needed. Available is 12.5mg/ml syrup. How many teaspoons does the nurse need to administer per dose?
2
A nurse is reinforcing teaching to a client who has recently been prescribed a 2,000 mg sodium-restricted diet. Which of the following nutritional selections by the client indicates a need for further teaching?
3/4 cup of tomato juice
A nurse is preparing to administer a tap water enema to a client. In which of the following positions should the nurse place the client?
Sim's
The client states, "I will quit smoking if the results don't come back positive for cancer." This statement indicates the client is in which of the following stages of grief?
bargaining
A nurse is performing a respiratory exam on a client who has pneumonia. Which of the following sounds should be elicited over areas over consolidation during percussion?
dullness
A nurse is caring for a client who has been prescribed a full liquid diet. Which item is appropriate to include?
grape juice and ice cream
A nurse is caring for a client who is receiving vancomycin (vancocin) for a beta-hemolytic streptococci infection. For which of the following adverse effects should the nurse monitor?
hearing loss
A nurse is collecting data on someone who has abdominal discomfort. When examining the abdomen, which of the following techniques should the nurse perform last?
inspection
A nurse is preparing to auscultate a client's heart. Which of the following positions is best fro detecting a low-pitched diastolic murmur?
left lateral (laying on side)
A nurse is taking care of a client with depression taking St. John's Wort. What does the supplement improve?
mood
What is a characteristic associated with a stage 2 pressure ulcer?
partial thickness skin loss
A nurse on a rehab unit is caring for a client who was admitted 3 days ago. Based on the medical records, which action should the nurse take?
restrict fluid intake
A nurse is preparing to transfer a client from the bed to a chair. The nurse should take which of the following actions to prevent a life injury?
stand close to the patient
With someone that has been diagnosed with laryngotracheobronchitis, what might their lungs sound like?
stridor
A nurse is examining a client's lymphatic system. Identify the site nurse should palpate to assess the posterior cervical lymph nodes.
towards the back of the neck
A nurse is preparing to measure the BP of a client who has hypertension. Which of the following actions by the nurse when taking the BP can result in inaccurately low reading
using a cuff that is too wide
How is Lyme disease transmitted?
vector
