search

What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

1 Jahrs vor
Kommentare: 0
Ansichten: 62

250 questions, answers, and explanations are offered in this sample exam from the 2013 edition of NCLEX-RN Exam Cram.

Show

  • A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every two hours. Which of the following outcome criteria would the nurse use?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Body temperature of 99°F or less

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Toes moved in active range of motion

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Sensation reported when soles of feet are touched

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Capillary refill of < 3 seconds

    Quick Answer: 223

    Detailed Answer: 225

  • A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Side-lying with knees flexed

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Knee-chest

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    High Fowler’s with knees flexed

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Semi-Fowler’s with legs extended on the bed

    Quick Answer: 223

    Detailed Answer: 225

  • A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Taking hourly blood pressures with mechanical cuff

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Encouraging fluid intake of at least 200mL per hour

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Position in high Fowler’s with knee gatch raised

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Administering Tylenol as ordered

    Quick Answer: 223

    Detailed Answer: 225

  • Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Steak

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Cottage cheese

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Popsicle

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Lima beans

    Quick Answer: 223

    Detailed Answer: 225

  • A newly admitted client has sickle cell crisis. He is complaining of pain in his feet and hands. The nurse’s assessment findings include a pulse oximetry of 92. Assuming that all the following interventions are ordered, which should be done first?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Adjust the room temperature

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Give a bolus of IV fluids

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Start O2

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Administer meperidine (Demerol) 75mg IV push

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Roast beef, gelatin salad, green beans, and peach pie

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Chicken salad sandwich, coleslaw, French fries, ice cream

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Pork chop, creamed potatoes, corn, and coconut cake

    Quick Answer: 223

    Detailed Answer: 225

  • Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    A family vacation in the Rocky Mountains

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Chaperoning the local boys club on a snow-skiing trip

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Traveling by airplane for business trips

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    A bus trip to the Museum of Natural History

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting an admission assessment of a client with vitamin B12 deficiency. Which finding reinforces the diagnosis of B12 deficiency?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Enlarged spleen

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Elevated blood pressure

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Bradycardia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Beefy tongue

    Quick Answer: 223

    Detailed Answer: 225

  • The body part that would most likely display jaundice in the dark-skinned individual is the:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Conjunctiva of the eye

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Soles of the feet

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Roof of the mouth

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Shins

    Quick Answer: 223

    Detailed Answer: 225

  • The nurse is conducting a physical assessment on a client with anemia. Which of the following clinical manifestations would be most indicative of the anemia?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    BP 146/88

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Respirations 28 shallow

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Weight gain of 10 pounds in six months

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Pink complexion

    Quick Answer: 223

    Detailed Answer: 226

  • The nurse is teaching the client with polycythemia vera about prevention of complications of the disease. Which of the following statements by the client indicates a need for further teaching?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    “I will drink 500mL of fluid or less each day.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    “I will wear support hose.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    “I will check my blood pressure regularly.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    “I will report ankle edema.”

    Quick Answer: 223

    Detailed Answer: 226

  • A 33-year-old male is being evaluated for possible acute leukemia. Which of the following findings is most likely related to the diagnosis of leukemia?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The client collects stamps as a hobby.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The client recently lost his job as a postal worker.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The client had radiation for treatment of Hodgkin’s disease as a teenager.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The client’s brother had leukemia as a child.

    Quick Answer: 223

    Detailed Answer: 226

  • Where is the best site for examining for the presence of petechiae in an African American client?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The abdomen

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The thorax

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The earlobes

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The soles of the feet

    Quick Answer: 223

    Detailed Answer: 226

  • The client is being evaluated for possible acute leukemia. Which inquiry by the nurse is most important?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    “Have you noticed a change in sleeping habits recently?”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    “Have you had a respiratory infection in the last six months?”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    “Have you lost weight recently?”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    “Have you noticed changes in your alertness?”

    Quick Answer: 223

    Detailed Answer: 226

  • Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Oral mucous membrane, altered related to chemo-therapy

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Risk for injury related to thrombocytopenia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Fatigue related to the disease process

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Interrupted family processes related to life-threatening illness of a family member

    Quick Answer: 223

    Detailed Answer: 226

  • A 21-year-old male with Hodgkin’s lymphoma is a senior at the local university. He is engaged to be married and is to begin a new job upon graduation. Which of the following diagnoses would be a priority for this client?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Sexual dysfunction related to radiation therapy

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Anticipatory grieving related to terminal illness

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Tissue integrity related to prolonged bed rest

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Fatigue related to chemotherapy

    Quick Answer: 223

    Detailed Answer: 226

  • A client has autoimmune thrombocytopenic purpura. To determine the client’s response to treatment, the nurse would monitor:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Platelet count

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    White blood cell count

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Potassium levels

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Partial prothrombin time (PTT)

    Quick Answer: 223

    Detailed Answer: 226

  • The home health nurse is visiting a client with autoimmune thrombocytopenic purpura (ATP). The client’s platelet count currently is 80,000. It will be most important to teach the client and family about:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Bleeding precautions

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Prevention of falls

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Oxygen therapy

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Conservation of energy

    Quick Answer: 223

    Detailed Answer: 226

  • The client has surgery for removal of a Prolactinoma. Which of the following interventions would be appropriate for this client?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Place the client in Trendelenburg position for postural drainage.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Encourage coughing and deep breathing every two hours.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Elevate the head of the bed 30°.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Encourage the Valsalva maneuver for bowel movements.

    Quick Answer: 223

    Detailed Answer: 226

  • The client with a history of diabetes insipidus is admitted with polyuria, polydipsia, and mental confusion. The priority intervention for this client is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Measure the urinary output.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Check the vital signs.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Encourage increased fluid intake.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Weigh the client.

    Quick Answer: 223

    Detailed Answer: 227

  • A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Place the client in a sitting position.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Administer acetaminophen (Tylenol).

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Pinch the soft lower part of the nose.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Apply ice packs to the forehead.

    Quick Answer: 223

    Detailed Answer: 227

  • A client has had a unilateral adrenalectomy to remove a tumor. The most important measurement in the immediate post-operative period for the nurse to take is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The blood pressure

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The temperature

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The urinary output

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The specific gravity of the urine

    Quick Answer: 223

    Detailed Answer: 227

  • A client with Addison’s disease has been admitted with a history of nausea and vomiting for the past three days. The client is receiving IV glucocorticoids (Solu-Medrol). Which of the following interventions would the nurse implement?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Glucometer readings as ordered

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Intake/output measurements

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Evaluating the sodium and potassium levels

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Daily weights

    Quick Answer: 223

    Detailed Answer: 227

  • A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Obtain a crash cart.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Check the calcium level.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Assess the dressing for drainage.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Assess the blood pressure for hypertension.

    Quick Answer: 223

    Detailed Answer: 227

  • A 32-year-old mother of three is brought to the clinic. Her pulse is 52, there is a weight gain of 30 pounds in four months, and the client is wearing two sweaters. The client is diagnosed with hypothyroidism. Which of the following nursing diagnoses is of highest priority?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Impaired physical mobility related to decreased endurance

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Hypothermia r/t decreased metabolic rate

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Disturbed thought processes r/t interstitial edema

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Decreased cardiac output r/t bradycardia

    Quick Answer: 223

    Detailed Answer: 227

  • The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Report muscle weakness to the physician.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Allow six months for the drug to take effect.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Take the medication with fruit juice.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Report difficulty sleeping.

    Quick Answer: 223

    Detailed Answer: 227

  • The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Utilize an infusion pump.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Check the blood glucose level.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Place the client in Trendelenburg position.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Cover the solution with foil.

    Quick Answer: 223

    Detailed Answer: 227

  • The six-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Blood pressure of 126/80

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Blood glucose of 110mg/dL

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Heart rate of 60bpm

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Respiratory rate of 30 per minute

    Quick Answer: 223

    Detailed Answer: 227

  • The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Replenish his supply every three months.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Take one every 15 minutes if pain occurs.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Leave the medication in the brown bottle.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Crush the medication and take with water.

    Quick Answer: 223

    Detailed Answer: 228

  • The client is instructed regarding foods that are low in fat and cholesterol. Which diet selection is lowest in saturated fats?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Macaroni and cheese

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Shrimp with rice

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Turkey breast

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Spaghetti with meat sauce

    Quick Answer: 223

    Detailed Answer: 228

  • The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Feet

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Neck

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Hands

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Sacrum

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is checking the client’s central venous pressure. The nurse should place the zero of the manometer at the:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Phlebostatic axis

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    PMI

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Erb’s point

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Tail of Spence

    Quick Answer: 223

    Detailed Answer: 228

  • The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Question the order.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Administer the medications.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Administer separately.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Contact the pharmacy.

    Quick Answer: 223

    Detailed Answer: 228

  • The best method of evaluating the amount of peripheral edema is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Weighing the client daily

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Measuring the extremity

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Measuring the intake and output

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Checking for pitting

    Quick Answer: 223

    Detailed Answer: 228

  • A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Overnight stays by family members is against hospital policy.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    There is no need for him to stay because staffing is adequate.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    His wife will rest much better knowing that he is at home.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Visitation is limited to 30 minutes when the implant is in place.

    Quick Answer: 223

    Detailed Answer: 228

  • The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Roast beef sandwich, potato chips, pickle spear, iced tea

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Split pea soup, mashed potatoes, pudding, milk

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Tomato soup, cheese toast, Jello, coffee

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Hamburger, baked beans, fruit cup, iced tea

    Quick Answer: 223

    Detailed Answer: 228

  • The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    “I will make sure I eat breakfast within 10 minutes of taking my insulin.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    “I will eat a snack around three o’clock each afternoon.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 223

    Detailed Answer: 229

  • The nurse is teaching basic infant care to a group of first-time parents. The nurse should explain that a sponge bath is recommended for the first two weeks of life because:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    New parents need time to learn how to hold the baby.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The umbilical cord needs time to separate.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Newborn skin is easily traumatized by washing.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The chance of chilling the baby outweighs the benefits of bathing.

    Quick Answer: 223

    Detailed Answer: 229

  • A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Treat iron-deficiency anemia caused by chemotherapeutic agents

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Create a synergistic effect that shortens treatment time

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Increase the number of circulating neutrophils

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Reverse drug toxicity and prevent tissue damage

    Quick Answer: 223

    Detailed Answer: 229

  • A four-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Hib titer

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Mumps vaccine

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Hepatitis B vaccine

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    MMR

    Quick Answer: 223

    Detailed Answer: 229

  • The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    30 minutes before a meal

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    With each meal

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    In a single dose at bedtime

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    30 minutes after meals

    Quick Answer: 223

    Detailed Answer: 229

  • A client on the psychiatric unit is in an uncontrolled rage and is threatening other clients and staff. What is the most appropriate action for the nurse to take?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Call security for assistance and prepare to sedate the client.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Tell the client to calm down and ask him if he would like to play cards.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Tell the client that if he continues his behavior he will be punished.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Leave the client alone until he calms down.

    Quick Answer: 223

    Detailed Answer: 229

  • When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Check the client for bladder distention.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Assess the blood pressure for hypotension.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Determine whether an oxytocic drug was given.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Check for the expulsion of small clots.

    Quick Answer: 223

    Detailed Answer: 229

  • A client is admitted to the hospital with a temperature of 99.8°F, complaints of blood-tinged hemoptysis, fatigue, and night sweats. The client’s symptoms are consistent with a diagnosis of:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Pneumonia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Reaction to antiviral medication

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Tuberculosis

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Superinfection due to low CD4 count

    Quick Answer: 223

    Detailed Answer: 229

  • The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client’s history should be reported to the doctor?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Diabetes

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Prinzmetal’s angina

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Cancer

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Cluster headaches

    Quick Answer: 223

    Detailed Answer: 229

  • The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is charted if the nurse notes:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Pain on flexion of the hip and knee

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Nuchal rigidity on flexion of the neck

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Pain when the head is turned to the left side

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Dizziness when changing positions

    Quick Answer: 223

    Detailed Answer: 229

  • The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Agnosia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Apraxia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Anomia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Aphasia

    Quick Answer: 223

    Detailed Answer: 229

  • The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Chronic fatigue syndrome

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Normal aging

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Sundowning

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Delusions

    Quick Answer: 223

    Detailed Answer: 230

  • The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    “You know you had breakfast 30 minutes ago.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    “I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    “I’ll get you some juice and toast. Would you like something else?”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    “You will have to wait a while; lunch will be here in a little while.”

    Quick Answer: 223

    Detailed Answer: 230

  • The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side effect is most often associated with this drug?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Urinary incontinence

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Headaches

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Confusion

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Nausea

    Quick Answer: 223

    Detailed Answer: 230

  • A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Document the finding.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Report the finding to the doctor.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Prepare the client for a C-section.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Continue primary care as prescribed.

    Quick Answer: 223

    Detailed Answer: 230

  • A client with a diagnosis of HPV is at risk for which of the following?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Hodgkin’s lymphoma

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Cervical cancer

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Multiple myeloma

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Ovarian cancer

    Quick Answer: 223

    Detailed Answer: 230

  • During the initial interview, the client reports that she has a lesion on the perineum. Further investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that the most likely source of the lesion is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Syphilis

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Herpes

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Gonorrhea

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Condylomata

    Quick Answer: 223

    Detailed Answer: 230

  • A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for treponema pallidum is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Venereal Disease Research Lab (VDRL)

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Rapid plasma reagin (RPR)

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Fluorescent treponemal antibody (FTA)

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Thayer-Martin culture (TMC)

    Quick Answer: 223

    Detailed Answer: 230

  • A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Elevated blood glucose

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Elevated platelet count

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Elevated creatinine clearance

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Elevated hepatic enzymes

    Quick Answer: 223

    Detailed Answer: 230

  • The nurse is assessing the deep tendon reflexes of a client with preeclampsia. Which method is used to elicit the biceps reflex?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The nurse places her thumb on the muscle inset in the antecubital space and taps the thumb briskly with the reflex hammer.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The nurse loosely suspends the client’s arm in an open hand while tapping the back of the client’s elbow.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The nurse instructs the client to dangle her legs as the nurse strikes the area below the patella with the blunt side of the reflex hammer.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The nurse instructs the client to place her arms loosely at her side as the nurse strikes the muscle insert just above the wrist.

    Quick Answer: 223

    Detailed Answer: 230

  • A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which doctor’s order should the nurse question?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Magnesium sulfate 4gm (25%) IV

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Brethine 10mcg IV

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Stadol 1mg IV push every 4 hours as needed prn for pain

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Ancef 2gm IVPB every 6 hours

    Quick Answer: 223

    Detailed Answer: 230

  • A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidylglycerol is noted. The nurse’s assessment of this data is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The infant is at low risk for congenital anomalies.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The infant is at high risk for intrauterine growth retardation.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The infant is at high risk for respiratory distress syndrome.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The infant is at high risk for birth trauma.

    Quick Answer: 223

    Detailed Answer: 231

  • Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Crying

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Wakefulness

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Jitteriness

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Yawning

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Decreased urinary output

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Hypersomnolence

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Absence of knee jerk reflex

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Decreased respiratory rate

    Quick Answer: 223

    Detailed Answer: 231

  • The client has elected to have epidural anesthesia to relieve labor pain. If the client experiences hypotension, the nurse would:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Place her in Trendelenburg position.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Decrease the rate of IV infusion.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Administer oxygen per nasal cannula.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Increase the rate of the IV infusion.

    Quick Answer: 223

    Detailed Answer: 231

  • A client has cancer of the pancreas. The nurse should be most concerned about which nursing diagnosis?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Alteration in nutrition

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Alteration in bowel elimination

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Alteration in skin integrity

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Ineffective individual coping

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for a client with uremic frost. The nurse is aware that uremic frost is often seen in clients with:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Severe anemia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Arteriosclerosis

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Liver failure

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Parathyroid disorder

    Quick Answer: 223

    Detailed Answer: 231

  • The client arrives in the emergency department after a motor vehicle accident. Nursing assessment findings include BP 80/34, pulse rate 120, and respirations 20. Which is the client’s most appropriate priority nursing diagnosis?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Alteration in cerebral tissue perfusion

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Fluid volume deficit

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Ineffective airway clearance

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Alteration in sensory perception

    Quick Answer: 223

    Detailed Answer: 231

  • The home health nurse is visiting an 18-year-old with osteogenesis imperfecta. Which information obtained on the visit would cause the most concern? The client:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Likes to play football

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Drinks carbonated drinks

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Has two sisters

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Is taking acetaminophen for pain

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse working the organ transplant unit is caring for a client with a white blood cell count of 450. During evening visitation, a visitor brings a basket of fruit. What action should the nurse take?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Allow the client to keep the fruit.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Place the fruit next to the bed for easy access by the client.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Offer to wash the fruit for the client.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Ask the family members to take the fruit home.

    Quick Answer: 223

    Detailed Answer: 231

  • The nurse is caring for the client following a laryngectomy when suddenly the client becomes nonresponsive and pale, with a BP of 90/40. The initial nurse’s action should be to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Place the client in Trendelenburg position.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Increase the infusion of normal saline.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Administer atropine intravenously.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Move the emergency cart to the bedside.

    Quick Answer: 223

    Detailed Answer: 231

  • The client admitted two days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Order a chest x-ray.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Reinsert the tube.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Cover the insertion site with a Vaseline gauze.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Call the doctor.

    Quick Answer: 223

    Detailed Answer: 231

  • A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Assess for signs of abnormal bleeding.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Anticipate an increase in the Coumadin dosage.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Instruct the client regarding the drug therapy.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Increase the frequency of neurological assessments.

    Quick Answer: 223

    Detailed Answer: 231

  • Which selection would provide the most calcium for the client who is four months pregnant?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    A granola bar

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    A bran muffin

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    A cup of yogurt

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    A glass of fruit juice

    Quick Answer: 223

    Detailed Answer: 232

  • The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The nurse performs a vaginal exam every 30 minutes.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The nurse places a padded tongue blade at the bedside.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The nurse inserts a Foley catheter.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The nurse darkens the room.

    Quick Answer: 223

    Detailed Answer: 232

  • The best size cathlon for administration of a blood transfusion to a six-year-old is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    18 gauge

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    19 gauge

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    22 gauge

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    20 gauge

    Quick Answer: 223

    Detailed Answer: 232

  • A client is admitted to the unit two hours after an explosion causes burns to the face. The nurse would be most concerned with the client developing which of the following?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Hypovolemia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Laryngeal edema

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Hypernatremia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Hyperkalemia

    Quick Answer: 223

    Detailed Answer: 232

  • The client has recently been diagnosed with diabetes. Which of the following indicates understanding of the management of diabetes?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The client selects a balanced diet from the menu.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The client can tell the nurse the normal blood glucose level.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The client asks for brochures on the subject of diabetes.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The client demonstrates correct insulin injection technique.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is admitted following cast application for a fractured ulna. Which finding should be reported to the doctor?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Pain at the site

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Warm fingers

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Pulses rapid

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Paresthesia of the fingers

    Quick Answer: 223

    Detailed Answer: 232

  • The client with AIDS should be taught to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Avoid warm climates.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Refrain from taking herbals.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Avoid exercising.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Report any changes in skin color.

    Quick Answer: 223

    Detailed Answer: 232

  • Which action by the healthcare worker indicates a need for further teaching?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The nursing assistant ambulates the elderly client using a gait belt.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The nurse wears goggles while performing a veno-puncture.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The nurse washes his hands after changing a dressing.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The nurse wears gloves to monitor the IV infusion rate.

    Quick Answer: 223

    Detailed Answer: 232

  • The client is having electroconvulsive therapy for treatment of severe depression. Prior to the ECT, the nurse should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Apply a tourniquet to the client’s arm.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Administer an anticonvulsant medication.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Ask the client if he is allergic to shellfish.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Apply a blood pressure cuff to the arm.

    Quick Answer: 223

    Detailed Answer: 232

  • The five-year-old is being tested for enterobiasis (pinworms). Which symptom is associated with enterobiasis?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Rectal itching

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Nausea

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Oral ulcerations

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Scalp itching

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is teaching the mother regarding treatment for pedicalosis capitis. Which instruction should be given regarding the medication?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Treatment is not recommended for children less than 10 years of age.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Bed linens should be washed in hot water.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Medication therapy will continue for one year.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Intravenous antibiotic therapy will be ordered.

    Quick Answer: 223

    Detailed Answer: 232

  • The registered nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The client with HIV

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The client with a radium implant for cervical cancer

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The client with RSV (respiratory synctial virus)

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The client with cytomegalovirus

    Quick Answer: 223

    Detailed Answer: 232

  • The nurse is planning room assignments for the day. Which client should be assigned to a private room if only one is available?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The client with methicillin resistant-staphylococcus aureas (MRSA)

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The client with diabetes

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The client with pancreatitis

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The client with Addison’s disease

    Quick Answer: 223

    Detailed Answer: 232

  • The doctor accidentally cuts the bowel during surgery. As a result of this action, the client develops an infection and suffers brain damage. The doctor can be charged with:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Negligence

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Tort

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Assault

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Malpractice

    Quick Answer: 223

    Detailed Answer: 233

  • Which assignment should not be performed by the nursing assistant?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Feeding the client

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Bathing the client

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Obtaining a stool

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Administering a fleet enema

    Quick Answer: 223

    Detailed Answer: 233

  • The mother calls the clinic to report that her newborn has a rash on his forehead and face. Which action is most appropriate?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Tell the mother to wash the face with soap and apply powder.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Tell her that 30% of newborns have a rash that will go away by one month of life.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Report the rash to the doctor immediately.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Ask the mother if anyone else in the family has had a rash in the last six months.

    Quick Answer: 223

    Detailed Answer: 233

  • Which nurse should not be assigned to care for the client with a radium implant for vaginal cancer?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The LPN who is six months postpartum

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The RN who is pregnant

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The RN who is allergic to iodine

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The RN with a three-year-old at home

    Quick Answer: 223

    Detailed Answer: 233

  • Which information should be reported to the state Board of Nursing?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The facility fails to provide literature in both Spanish and English.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The narcotic count has been incorrect on the unit for the past three days.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The client fails to receive an itemized account of his bills and services received during his hospital stay.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The nursing assistant assigned to the client with hepatitis fails to feed the client and give the bath.

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is suspected of charting medication administration that he did not give. After talking to the nurse, the charge nurse should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Call the Board of Nursing.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    File a formal reprimand.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Terminate the nurse.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Charge the nurse with a tort.

    Quick Answer: 223

    Detailed Answer: 233

  • The home health nurse is planning for the day’s visits. Which client should be seen first?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The 78-year-old who had a gastrectomy three weeks ago and has a PEG tube

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The five-month-old discharged one week ago with pneumonia who is being treated with amoxicillin liquid suspension

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The 50-year-old with MRSA being treated with Vancomycin via a PICC line

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The 30-year-old with an exacerbation of multiple sclerosis being treated with cortisone via a centrally placed venous catheter

    Quick Answer: 223

    Detailed Answer: 233

  • The emergency room is flooded with clients injured in a tornado. Which clients can be assigned to share a room in the emergency department during the disaster?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    A client having auditory hallucinations and the client with ulcerative colitis

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The client who is pregnant and the client with a broken arm

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    A child who is cyanotic with severe dypsnea and a client with a frontal head injury

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The client who arrives with a large puncture wound to the abdomen and the client with chest pain

    Quick Answer: 223

    Detailed Answer: 233

  • Before administering eardrops to a toddler, the nurse should recognize that it is essential to consider which of the following?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The age of the child

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The child’s weight

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The developmental level of the child

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The IQ of the child

    Quick Answer: 223

    Detailed Answer: 233

  • The nurse is discussing meal planning with the mother of a two-year-old. Which of the following statements, if made by the mother, would require a need for further instruction?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    “It is okay to give my child white grape juice for breakfast.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    “My child can have a grilled cheese sandwich for lunch.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    “We are going on a camping trip this weekend, and I have bought hot dogs to grill for his lunch.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    “For a snack, my child can have ice cream.”

    Quick Answer: 223

    Detailed Answer: 233

  • A client with AIDS has a viral load of 200 copies per ml. The nurse should interpret this finding as:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The client is at risk for opportunistic diseases.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The client is no longer communicable.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The client’s viral load is extremely low so he is relatively free of circulating virus.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The client’s T-cell count is extremely low.

    Quick Answer: 223

    Detailed Answer: 233

  • The client has an order for sliding scale insulin at 1900 hours and Lantus insulin at the same hour. The nurse should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Administer the two medications together.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Administer the medications in two injections.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Draw up the Lantus insulin and then the regular insulin and administer them together.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Contact the doctor because these medications should not be given to the same client.

    Quick Answer: 223

    Detailed Answer: 234

  • A priority nursing diagnosis for a child being admitted from surgery following a tonsillectomy is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Altered nutrition

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Impaired communication

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Risk for injury/aspiration

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Altered urinary elimination

    Quick Answer: 223

    Detailed Answer: 234

  • What would the nurse expect the admitting assessment to reveal in a client with glomerulonephritis?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Hypertension

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Lassitude

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Fatigue

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Vomiting and diarrhea

    Quick Answer: 223

    Detailed Answer: 234

  • Which action is contraindicated in the client with epiglottis?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Ambulation

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Oral airway assessment using a tongue blade

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Placing a blood pressure cuff on the arm

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Checking the deep tendon reflexes.

    Quick Answer: 223

    Detailed Answer: 234

  • A 25-year-old client with a goiter is admitted to the unit. What would the nurse expect the admitting assessment to reveal?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Slow pulse

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Anorexia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Bulging eyes

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Weight gain

    Quick Answer: 223

    Detailed Answer: 234

  • Which of the following foods, if selected by the mother with a child with celiac, would indicate her understanding of the dietary instructions?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Whole-wheat toast

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Angel hair pasta

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Reuben on rye

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Rice cereal

    Quick Answer: 223

    Detailed Answer: 234

  • The first action that the nurse should take if she finds the client has an O2 saturation of 68% is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Elevate the head.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Recheck the O2 saturation in 30 minutes.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Apply oxygen by mask.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Assess the heart rate.

    Quick Answer: 223

    Detailed Answer: 234

  • Which observation would the nurse expect to make after an amniotomy?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Dark yellow amniotic fluid

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Clear amniotic fluid

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Greenish amniotic fluid

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Red amniotic fluid

    Quick Answer: 223

    Detailed Answer: 234

  • The client taking Glyburide (Diabeta) should be cautioned to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Avoid eating sweets.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Report changes in urinary pattern.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Allow three hours for onset.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Check the glucose daily.

    Quick Answer: 223

    Detailed Answer: 234

  • The obstetric client’s fetal heart rate is 80–90 during the contractions. The first action the nurse should take is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Reposition the monitor.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Turn the client to her left side.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Ask the client to ambulate.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Prepare the client for delivery.

    Quick Answer: 223

    Detailed Answer: 234

  • Arterial ulcers are best described as ulcers that:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Are smooth in texture

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Have irregular borders

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Are cool to touch

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Are painful to touch

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Anticipate the need for a Caesarean section.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Apply an internal fetal monitor.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Place the client in Genu Pectoral position.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Perform an ultrasound.

    Quick Answer: 223

    Detailed Answer: 234

  • A vaginal exam reveals that the cervix is 4cm dilated, with intact membranes and a fetal heart tone rate of 160–170bpm. The nurse decides to apply an external fetal monitor. The rationale for this implementation is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The cervix is closed.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The membranes are still intact.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The fetal heart tones are within normal limits.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The contractions are intense enough for insertion of an internal monitor.

    Quick Answer: 223

    Detailed Answer: 234

  • The following are all nursing diagnoses appropriate for a gravida 1 para 0 in labor. Which one would be most appropriate for the primagravida as she completes the early phase of labor?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Impaired gas exchange related to hyperventilation

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Alteration in placental perfusion related to maternal position

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Impaired physical mobility related to fetal-monitoring equipment

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Potential fluid volume deficit related to decreased fluid intake

    Quick Answer: 223

    Detailed Answer: 235

  • As the client reaches 6cm dilation, the nurse notes late decelerations on the fetal monitor. What is the most likely explanation of this pattern?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The baby is sleeping.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The umbilical cord is compressed.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    There is head compression.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    There is uteroplacental insufficiency.

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse notes variable decelerations on the fetal monitor strip. The most appropriate initial action would be to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Notify her doctor.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Start an IV.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Reposition the client.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Readjust the monitor.

    Quick Answer: 223

    Detailed Answer: 235

  • Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    A fetal heart rate of 120–130bpm

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    A baseline variability of 6–10bpm

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Accelerations in FHR with fetal movement

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    A recurrent rate of 90–100bpm at the end of the contractions

    Quick Answer: 223

    Detailed Answer: 235

  • The rationale for inserting a French catheter every hour for the client with epidural anesthesia is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The bladder fills more rapidly because of the medication used for the epidural.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Her level of consciousness is such that she is in a trancelike state.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The sensation of the bladder filling is diminished or lost.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    She is embarrassed to ask for the bedpan that frequently.

    Quick Answer: 223

    Detailed Answer: 235

  • A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Estrogen levels are low

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Lutenizing hormone is high

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The endometrial lining is thin

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The progesterone level is low

    Quick Answer: 223

    Detailed Answer: 235

  • A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Age of the client

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Frequency of intercourse

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Regularity of the menses

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Range of the client’s temperature

    Quick Answer: 223

    Detailed Answer: 235

  • A client with diabetes asks the nurse for advice regarding methods of birth control. Which method of birth control is most suitable for the client with diabetes?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Intrauterine device

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Oral contraceptives

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Diaphragm

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Contraceptive sponge

    Quick Answer: 223

    Detailed Answer: 235

  • The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of a ruptured ectopic pregnancy?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Painless vaginal bleeding

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Abdominal cramping

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Throbbing pain in the upper quadrant

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Sudden, stabbing pain in the lower quadrant

    Quick Answer: 223

    Detailed Answer: 235

  • The nurse is teaching a pregnant client about nutritional needs during pregnancy. Which menu selection will best meet the nutritional needs of the pregnant client?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Hamburger patty, green beans, French fries, and iced tea

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Roast beef sandwich, potato chips, baked beans, and cola

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Baked chicken, fruit cup, potato salad, coleslaw, yogurt, and iced tea

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Fish sandwich, gelatin with fruit, and coffee

    Quick Answer: 223

    Detailed Answer: 236

  • The client with hyperemesis gravidarum is at risk for developing:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Respiratory alkalosis without dehydration

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Metabolic acidosis with dehydration

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Respiratory acidosis without dehydration

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Metabolic alkalosis with dehydration

    Quick Answer: 223

    Detailed Answer: 236

  • A client tells the doctor that she is about 20 weeks pregnant. The most definitive sign of pregnancy is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Elevated human chorionic gonadatropin

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The presence of fetal heart tones

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Uterine enlargement

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Breast enlargement and tenderness

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is caring for a neonate whose mother is diabetic. The nurse will expect the neonate to be:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Hypoglycemic, small for gestational age

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Hyperglycemic, large for gestational age

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Hypoglycemic, large for gestational age

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Hyperglycemic, small for gestational age

    Quick Answer: 223

    Detailed Answer: 236

  • Which of the following instructions should be included in the nurse’s teaching regarding oral contraceptives?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Weight gain should be reported to the physician.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    An alternate method of birth control is needed when taking antibiotics.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    If the client misses one or more pills, two pills should be taken per day for one week.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Changes in the menstrual flow should be reported to the physician.

    Quick Answer: 223

    Detailed Answer: 236

  • The nurse is discussing breastfeeding with a postpartum client. Breastfeeding is contraindicated in the postpartum client with:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Diabetes

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    HIV

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Hypertension

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Thyroid disease

    Quick Answer: 224

    Detailed Answer: 236

  • A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse’s first action should be to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Assess the fetal heart tones.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Check for cervical dilation.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Check for firmness of the uterus.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Obtain a detailed history.

    Quick Answer: 224

    Detailed Answer: 236

  • A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Her contractions are two minutes apart.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    She has back pain and a bloody discharge.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    She experiences abdominal pain and frequent urination.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Her contractions are five minutes apart.

    Quick Answer: 224

    Detailed Answer: 236

  • The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Low birth weight

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Large for gestational age

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Preterm birth, but appropriate size for gestation

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Growth retardation in weight and length

    Quick Answer: 224

    Detailed Answer: 237

  • The physician has ordered an injection of RhoGam for the postpartum client whose blood type is A negative but whose baby is O positive. To provide postpartum prophylaxis, RhoGam should be administered:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Within 72 hours of delivery

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Within one week of delivery

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Within two weeks of delivery

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Within one month of delivery

    Quick Answer: 224

    Detailed Answer: 237

  • After the physician performs an amniotomy, the nurse’s first action should be to assess the:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Degree of cervical dilation

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Fetal heart tones

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Client’s vital signs

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Client’s level of discomfort

    Quick Answer: 224

    Detailed Answer: 237

  • A client is admitted to the labor and delivery unit. The nurse performs a vaginal exam and determines that the client’s cervix is 5cm dilated with 75% effacement. Based on the nurse’s assessment, the client is in which phase of labor?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Active

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Latent

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Transition

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Early

    Quick Answer: 224

    Detailed Answer: 237

  • A newborn with narcotic abstinence syndrome is admitted to the nursery. Nursing care of the newborn should include:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Teaching the mother to provide tactile stimulation

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Wrapping the newborn snugly in a blanket

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Placing the newborn in the infant seat

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Initiating an early infant-stimulation program

    Quick Answer: 224

    Detailed Answer: 237

  • A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Checking for cervical dilation

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Placing the client in a supine position

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Checking the client’s blood pressure

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Obtaining a fetal heart rate

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Administer a prescribed antibiotic.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Wash her hands for two minutes before care.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Wear a mask when providing care.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Ask the client to cover her mouth when she coughs.

    Quick Answer: 224

    Detailed Answer: 237

  • The elderly client is admitted to the emergency room. Which symptom is the client with a fractured hip most likely to exhibit?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Pain

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Disalignment

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Cool extremity

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Absence of pedal pulses

    Quick Answer: 224

    Detailed Answer: 237

  • The nurse knows that a 60-year-old female client’s susceptibility to osteoporosis is most likely related to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Lack of exercise

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Hormonal disturbances

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Lack of calcium

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Genetic predisposition

    Quick Answer: 224

    Detailed Answer: 237

  • A two-year-old is admitted for repair of a fractured femur and is placed in Bryant’s traction. Which finding by the nurse indicates that the traction is working properly?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The infant no longer complains of pain.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The buttocks are 15° off the bed.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The legs are suspended in the traction.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The pins are secured within the pulley.

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Uses a Steinman pin

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Requires that both legs be secured

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Utilizes Kirschner wires

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Is used primarily to heal the fractured hips

    Quick Answer: 224

    Detailed Answer: 238

  • The client is admitted for an open reduction internal fixation of a fractured hip. Immediately following surgery, the nurse should give priority to assessing the:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Serum collection (Davol) drain

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Client’s pain

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Nutritional status

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Immobilizer

    Quick Answer: 224

    Detailed Answer: 238

  • Which statement made by the family member caring for the client with a percutaneous gastrostomy tube indicates understanding of the nurse’s teaching?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    “I must flush the tube with water after feedings and clamp the tube.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    “I must check placement four times per day.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    “I will report to the doctor any signs of indigestion.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    “If my father is unable to swallow, I will discontinue the feeding and call the clinic.”

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is assessing the client with a total knee replacement two hours post-operative. Which information requires notification of the doctor?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Scant bleeding on the dressing

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Low-grade temperature

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Hemoglobin of 7gm

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The urinary output has been 120ml during the last hour

    Quick Answer: 224

    Detailed Answer: 238

  • The nurse is caring for the client with a five-year-old diagnosis of plumbism. Which information in the health history is most likely related to the development of plumbism?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The client has traveled out of the country in the last six months.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The client’s parents are skilled stained-glass artists.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The client lives in a house built in 1990.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The client has several brothers and sisters.

    Quick Answer: 224

    Detailed Answer: 238

  • A client with a total hip replacement requires special equipment. Which equipment would assist the client with a total hip replacement with activities of daily living?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    High-seat commode

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Recliner

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    TENS unit

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Abduction pillow

    Quick Answer: 224

    Detailed Answer: 238

  • An elderly client with an abdominal surgery is admitted to the unit following surgery. In anticipation of complications of anesthesia and narcotic administration, the nurse should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Administer oxygen via nasal cannula.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Have narcan (naloxane) available.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Prepare to administer blood products.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Prepare to do cardioresuscitation.

    Quick Answer: 224

    Detailed Answer: 238

  • Which roommate would be most suitable for the six-year-old male with a fractured femur in Russell’s traction?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    16-year-old female with scoliosis

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    12-year-old male with a fractured femur

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    10-year-old male with sarcoma

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    6-year-old male with osteomylitis

    Quick Answer: 224

    Detailed Answer: 239

  • A client with osteoarthritis has a prescription for Celebrex (celecoxib). Which instruction should be included in the discharge teaching?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Take the medication with milk.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Report chest pain.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Remain upright after taking for 30 minutes.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Allow six weeks for optimal effects.

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured tibia has a plaster-of-Paris cast applied to immobilize the fracture. Which action by the nurse indicates understanding of a plaster-of-Paris cast? The nurse:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Handles the cast with the fingertips

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Petals the cast

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Dries the cast with a hair dryer

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Allows 24 hours before bearing weight

    Quick Answer: 224

    Detailed Answer: 239

  • The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    “It will be alright for your friends to autograph the cast.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    “Because the cast is made of plaster, autographing can weaken the cast.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    “If they don’t use chalk to autograph, it is okay.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    “Autographing or writing on the cast in any form will harm the cast.”

    Quick Answer: 224

    Detailed Answer: 239

  • The nurse is assigned to care for the client with a Steinman pin. During pin care, she notes that the LPN uses sterile gloves and Q-tips to clean the pin. Which action should the nurse take at this time?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Assisting the LPN with opening sterile packages and peroxide

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Telling the LPN that clean gloves are allowed

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Telling the LPN that the registered nurse should perform pin care

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Asking the LPN to clean the weights and pulleys with peroxide

    Quick Answer: 224

    Detailed Answer: 239

  • A child with scoliosis has a spica cast applied. Which action specific to the spica cast should be taken?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Check the bowel sounds.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Assess the blood pressure.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Offer pain medication.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Check for swelling.

    Quick Answer: 224

    Detailed Answer: 239

  • The client with a cervical fracture is placed in traction. Which type of traction will be utilized at the time of discharge?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Russell’s traction

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Buck’s traction

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Halo traction

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Crutchfield tong traction

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a total knee replacement has a CPM (continuous passive motion device) applied during the post-operative period. Which statement made by the nurse indicates understanding of the CPM machine?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    “Use of the CPM will permit the client to ambulate during the therapy.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    “The CPM machine controls should be positioned distal to the site.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    “If the client complains of pain during the therapy, I will turn off the machine and call the doctor.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    “Use of the CPM machine will alleviate the need for physical therapy after the client is discharged.”

    Quick Answer: 224

    Detailed Answer: 239

  • A client with a fractured hip is being taught correct use of the walker. The nurse is aware that the correct use of the walker is achieved if the:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Palms rest lightly on the handles

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Elbows are flexed 0°

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Client walks to the front of the walker

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Client carries the walker

    Quick Answer: 224

    Detailed Answer: 240

  • When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Attempt to replace the cord.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Place the client on her left side.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Elevate the client’s hips.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Cover the cord with a dry, sterile gauze.

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is caring for a 30-year-old male admitted with a stab wound. While in the emergency room, a chest tube is inserted. Which of the following explains the primary rationale for insertion of chest tubes?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The tube will allow for equalization of the lung expansion.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Chest tubes serve as a method of draining blood and serous fluid and assist in reinflating the lungs.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Chest tubes relieve pain associated with a collapsed lung.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Chest tubes assist with cardiac function by stabilizing lung expansion.

    Quick Answer: 224

    Detailed Answer: 240

  • A client who delivered this morning tells the nurse that she plans to breastfeed her baby. The nurse is aware that successful breastfeeding is most dependent on the:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Mother’s educational level

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Infant’s birth weight

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Size of the mother’s breast

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Mother’s desire to breastfeed

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is monitoring the progress of a client in labor. Which finding should be reported to the physician immediately?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The presence of scant bloody discharge

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Frequent urination

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The presence of green-tinged amniotic fluid

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Moderate uterine contractions

    Quick Answer: 224

    Detailed Answer: 240

  • The nurse is measuring the duration of the client’s contractions. Which statement is true regarding the measurement of the duration of contractions?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Duration is measured by timing from the beginning of one contraction to the beginning of the next contraction.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Duration is measured by timing from the end of one contraction to the beginning of the next contraction.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Duration is measured by timing from the beginning of one contraction to the end of the same contraction.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Duration is measured by timing from the peak of one contraction to the end of the same contraction.

    Quick Answer: 224

    Detailed Answer: 240

  • The physician has ordered an intravenous infusion of Pitocin for the induction of labor. When caring for the obstetric client receiving intravenous Pitocin, the nurse should monitor for:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Maternal hypoglycemia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Fetal bradycardia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Maternal hyperreflexia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Fetal movement

    Quick Answer: 224

    Detailed Answer: 240

  • A client with diabetes visits the prenatal clinic at 28 weeks gestation. Which statement is true regarding insulin needs during pregnancy?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Insulin requirements moderate as the pregnancy progresses.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    A decreased need for insulin occurs during the second trimester.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Elevations in human chorionic gonadotrophin decrease the need for insulin.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Fetal development depends on adequate insulin regulation.

    Quick Answer: 224

    Detailed Answer: 240

  • A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Providing a calm environment

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Obtaining a diet history

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Administering an analgesic

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Assessing fetal heart tones

    Quick Answer: 224

    Detailed Answer: 240

  • A primigravida, age 42, is six weeks pregnant. Based on the client’s age, her infant is at risk for:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Down syndrome

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Respiratory distress syndrome

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Turner’s syndrome

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Pathological jaundice

    Quick Answer: 224

    Detailed Answer: 241

  • A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Magnesium sulfate

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Calcium gluconate

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Dinoprostone (Prostin E.)

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Bromocrystine (Parlodel)

    Quick Answer: 224

    Detailed Answer: 241

  • A client with preeclampsia has been receiving an infusion containing magnesium sulfate for a blood pressure that is 160/80; deep tendon reflexes are 1 plus, and the urinary output for the past hour is 100mL. The nurse should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Continue the infusion of magnesium sulfate while monitoring the client’s blood pressure.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Stop the infusion of magnesium sulfate and contact the physician.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Slow the infusion rate and turn the client on her left side.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Administer calcium gluconate IV push and continue to monitor the blood pressure.

    Quick Answer: 224

    Detailed Answer: 241

  • Which statement made by the nurse describes the inheritance pattern of autosomal recessive disorders?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    An affected newborn has unaffected parents.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    An affected newborn has one affected parent.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Affected parents have a one in four chance of passing on the defective gene.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Affected parents have unaffected children who are carriers.

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client, age 32, asks the nurse why her doctor has recommended a serum alpha fetoprotein. The nurse should explain that the doctor has recommended the test:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Because it is a state law

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    To detect cardiovascular defects

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Because of her age

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    To detect neurological defects

    Quick Answer: 224

    Detailed Answer: 241

  • A client with hypothyroidism asks the nurse if she will still need to take thyroid medication during the pregnancy. The nurse’s response is based on the knowledge that:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    There is no need to take thyroid medication because the fetus’s thyroid produces a thyroid-stimulating hormone.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Regulation of thyroid medication is more difficult because the thyroid gland increases in size during pregnancy.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    It is more difficult to maintain thyroid regulation during pregnancy due to a slowing of metabolism.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Fetal growth is arrested if thyroid medication is continued during pregnancy.

    Quick Answer: 224

    Detailed Answer: 241

  • The nurse is responsible for performing a neonatal assessment on a full-term infant. At one minute, the nurse could expect to find:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    An apical pulse of 100

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    An absence of tonus

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Cyanosis of the feet and hands

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Jaundice of the skin and sclera

    Quick Answer: 224

    Detailed Answer: 241

  • A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client’s need for:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Supplemental oxygen

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Fluid restriction

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Blood transfusion

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Delivery by Caesarean section

    Quick Answer: 224

    Detailed Answer: 241

  • A client with diabetes has an order for ultrasonography. Preparation for an ultrasound includes:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Increasing fluid intake

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Limiting ambulation

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Administering an enema

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Withholding food for eight hours

    Quick Answer: 224

    Detailed Answer: 241

  • An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at one year?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    14 pounds

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    16 pounds

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    18 pounds

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    24 pounds

    Quick Answer: 224

    Detailed Answer: 241

  • A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Determines the lung maturity of the fetus

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Measures the activity of the fetus

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Shows the effect of contractions on the fetal heart rate

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Measures the neurological well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 242

  • A full-term male has hypospadias. Which statement describes hypospadias?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The urethral opening is absent

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The urethra opens on the top side of the penis

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The urethral opening is enlarged

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The urethra opens on the under side of the penis

    Quick Answer: 224

    Detailed Answer: 242

  • A gravida III para II is admitted to the labor unit. Vaginal exam reveals that the client’s cervix is 8cm dilated, with complete effacement. The priority nursing diagnosis at this time is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Alteration in coping related to pain

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Potential for injury related to precipitate delivery

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Alteration in elimination related to anesthesia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Potential for fluid volume deficit related to NPO status

    Quick Answer: 224

    Detailed Answer: 242

  • The client with varicella will most likely have an order for which category of medication?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Antibiotics

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Antipyretics

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Antivirals

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Anticoagulants

    Quick Answer: 224

    Detailed Answer: 242

  • A client is admitted complaining of chest pain. Which of the following drug orders should the nurse question?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Nitroglycerin

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Ampicillin

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Propranolol

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Verapamil

    Quick Answer: 224

    Detailed Answer: 242

  • Which of the following instructions should be included in the teaching for the client with rheumatoid arthritis?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Avoid exercise because it fatigues the joints.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Take prescribed anti-inflammatory medications with meals.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Alternate hot and cold packs to affected joints.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Avoid weight-bearing activity.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with acute pancreatitis is experiencing severe abdominal pain. Which of the following orders should be questioned by the nurse?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Meperidine 100mg IM m 4 hours PRN pain

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Mylanta 30 ccs m 4 hours via NG

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Cimetadine 300mg PO m.i.d.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Morphine 8mg IM m 4 hours PRN pain

    Quick Answer: 224

    Detailed Answer: 242

  • The client is admitted to the chemical dependence unit with an order for continuous observation. The nurse is aware that the doctor has ordered continuous observation because:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Hallucinogenic drugs create both stimulant and depressant effects.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Hallucinogenic drugs induce a state of altered perception.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Hallucinogenic drugs produce severe respiratory depression.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Hallucinogenic drugs induce rapid physical dependence.

    Quick Answer: 224

    Detailed Answer: 242

  • A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Depression and suicidal ideation

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Tachycardia and diarrhea

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Muscle cramping and abdominal pain

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Tachycardia and euphoric mood

    Quick Answer: 224

    Detailed Answer: 242

  • During the assessment of a laboring client, the nurse notes that the FHT are loudest in the upper-right quadrant. The infant is most likely in which position?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Right breech presentation

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Right occipital anterior presentation

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Left sacral anterior presentation

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Left occipital transverse presentation

    Quick Answer: 224

    Detailed Answer: 243

  • The primary physiological alteration in the development of asthma is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Bronchiolar inflammation and dyspnea

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Hypersecretion of abnormally viscous mucus

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Infectious processes causing mucosal edema

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Spasm of bronchiolar smooth muscle

    Quick Answer: 224

    Detailed Answer: 243

  • A client with mania is unable to finish her dinner. To help her maintain sufficient nourishment, the nurse should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Serve high-calorie foods she can carry with her.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Encourage her appetite by sending out for her favorite foods.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Serve her small, attractively arranged portions.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Allow her in the unit kitchen for extra food whenever she pleases.

    Quick Answer: 224

    Detailed Answer: 243

  • To maintain Bryant’s traction, the nurse must make certain that the child’s:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Hips are resting on the bed, with the legs suspended at a right angle to the bed

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Hips are slightly elevated above the bed and the legs are suspended at a right angle to the bed

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Hips are elevated above the level of the body on a pillow and the legs are suspended parallel to the bed

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Hips and legs are flat on the bed, with the traction positioned at the foot of the bed

    Quick Answer: 224

    Detailed Answer: 243

  • Which action by the nurse indicates understanding of herpes zoster?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The nurse covers the lesions with a sterile dressing.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The nurse wears gloves when providing care.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The nurse administers a prescribed antibiotic.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The nurse administers oxygen.

    Quick Answer: 224

    Detailed Answer: 243

  • There is an order for a trough to be drawn on the client receiving Vancomycin. The nurse is aware that he should contact the lab for them to collect the blood:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    15 minutes after the infusion

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    30 minutes before the fourth infusion

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    One hour after the infusion

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Two hours after the infusion

    Quick Answer: 224

    Detailed Answer: 243

  • The client using a diaphragm should be instructed to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Refrain from keeping the diaphragm in longer than four hours

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Keep the diaphragm in a cool location

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Have the diaphragm resized if she gains five pounds

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Have the diaphragm resized if she has any surgery

    Quick Answer: 224

    Detailed Answer: 243

  • The nurse is providing postpartum teaching for a mother planning to breastfeed her infant. Which of the client’s statements indicates the need for additional teaching?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    “I’m wearing a support bra.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    “I’m expressing milk from my breast.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    “I’m drinking four glasses of fluid during a 24-hour period.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    “While I’m in the shower, I’ll allow the water to run over my breasts.”

    Quick Answer: 224

    Detailed Answer: 243

  • Damage to the VII cranial nerve results in:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Facial pain

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Absence of ability to smell

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Absence of eye movement

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Tinnitus

    Quick Answer: 224

    Detailed Answer: 243

  • A client is receiving Pyridium (phenazopyridine hydrochloride) for a urinary tract infection. The client should be taught that the medication may:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Cause diarrhea

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Change the color of her urine

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Cause mental confusion

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Cause changes in taste

    Quick Answer: 224

    Detailed Answer: 244

  • Which of the following tests should be performed before beginning a prescription of Accutane?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Check the calcium level.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Perform a pregnancy test.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Monitor apical pulse.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Obtain a creatinine level.

    Quick Answer: 224

    Detailed Answer: 244

  • A client with AIDS is taking Zovirax (acyclovir). Which nursing intervention is most critical during the administration of acyclovir?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Limit the client’s activity.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Encourage a high-carbohydrate diet.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Use an incentive spirometer to improve respiratory function.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Encourage fluids.

    Quick Answer: 224

    Detailed Answer: 244

  • A client is admitted for an CAT scan. The nurse should question the client regarding:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Pregnancy

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    A titanium hip replacement

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Allergies to antibiotics

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Inability to move his feet

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse is caring for the client receiving Amphotericin B. Which of the following indicates that the client has experienced toxicity to this drug?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Changes in vision

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Nausea

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Urinary frequency

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Changes in skin color

    Quick Answer: 224

    Detailed Answer: 244

  • The nurse should visit which of the following clients first?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The client with diabetes with a blood glucose of 95mg/dL

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The client with hypertension being maintained on Lisinopril

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The client with chest pain and a history of angina

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The client with Raynaud’s disease

    Quick Answer: 224

    Detailed Answer: 244

  • A client with cystic fibrosis is taking pancreatic enzymes. The nurse should administer this medication:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Once per day in the morning

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Three times per day with meals

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Once per day at bedtime

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Four times per day

    Quick Answer: 224

    Detailed Answer: 244

  • Cataracts result in opacity of the crystalline lens. Which of the following best explains the functions of the lens?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The lens controls stimulation of the retina.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The lens orchestrates eye movement.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The lens focuses light rays on the retina.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The lens magnifies small objects.

    Quick Answer: 224

    Detailed Answer: 244

  • A client who has glaucoma is to have miotic eyedrops instilled in both eyes. The nurse knows that the purpose of the medication is to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Anesthetize the cornea

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Dilate the pupils

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Constrict the pupils

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Paralyze the muscles of accommodation

    Quick Answer: 224

    Detailed Answer: 244

  • A client with a severe corneal ulcer has an order for Gentamicin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Allow five minutes between the two medications.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The medications may be used together.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The medications should be separated by a cycloplegic drug.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The medications should not be used in the same client.

    Quick Answer: 224

    Detailed Answer: 244

  • The client with color blindness will most likely have problems distinguishing which of the following colors?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Orange

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Violet

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Red

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    White

    Quick Answer: 224

    Detailed Answer: 244

  • The client with a pacemaker should be taught to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Report ankle edema

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Check his blood pressure daily

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Refrain from using a microwave oven

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Monitor his pulse rate

    Quick Answer: 224

    Detailed Answer: 245

  • The client with enuresis is being taught regarding bladder retraining. The nurse should advise the client to refrain from drinking after:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    1900

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    1200

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    1000

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    0700

    Quick Answer: 224

    Detailed Answer: 245

  • Which of the following diet instructions should be given to the client with recurring urinary tract infections?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Increase intake of meats.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Avoid citrus fruits.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Perform pericare with hydrogen peroxide.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Drink a glass of cranberry juice every day.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed NPH insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    “I will make sure I eat breakfast within two hours of taking my insulin.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    “I will need to carry candy or some form of sugar with me all the time.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    “I will eat a snack around three o’clock each afternoon.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    “I can save my dessert from supper for a bedtime snack.”

    Quick Answer: 224

    Detailed Answer: 245

  • A client with pneumacystis carinii pneumonia is receiving Methotrexate. The rationale for administering leucovorin calcium to a client receiving Methotrexate is to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Treat anemia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Create a synergistic effect

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Increase the number of white blood cells

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Reverse drug toxicity

    Quick Answer: 224

    Detailed Answer: 245

  • A client tells the nurse that she is allergic to eggs, dogs, rabbits, and chicken feathers. Which order should the nurse question?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    TB skin test

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Rubella vaccine

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    ELISA test

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Chest x-ray

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has prescribed ranitidine (Zantac) for a client with erosive gastritis. The nurse should administer the medication:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    30 minutes before meals

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    With each meal

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    In a single dose at bedtime

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    60 minutes after meals

    Quick Answer: 224

    Detailed Answer: 245

  • A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Is the opening on the client’s left side

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Is the opening on the distal end on the client’s left side

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Is the opening on the client’s right side

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Is the opening on the distal right side

    Quick Answer: 224

    Detailed Answer: 245

  • While assessing the postpartal client, the nurse notes that the fundus is displaced to the right. Based on this finding, the nurse should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Ask the client to void.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Assess the blood pressure for hypotension.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Administer oxytocin.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Check for vaginal bleeding.

    Quick Answer: 224

    Detailed Answer: 245

  • The physician has ordered an MRI for a client with an orthopedic ailment. An MRI should not be done if the client has:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The need for oxygen therapy

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    A history of claustrophobia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    A permanent pacemaker

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Sensory deafness

    Quick Answer: 224

    Detailed Answer: 246

  • A six-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Colorful crib mobile

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Hand-held electronic games

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Cars in a plastic container

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    30-piece jigsaw puzzle

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Taking a hot bath will decrease stiffness and spasticity.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    A schedule of strenuous exercise will improve muscle strength.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Rest periods should be scheduled throughout the day.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Visual disturbances can be corrected with prescription glasses.

    Quick Answer: 224

    Detailed Answer: 246

  • A client on the postpartum unit has a proctoepisiotomy. The nurse should anticipate administering which medication?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Dulcolax suppository

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Docusate sodium (Colace)

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Methyergonovine maleate (Methergine)

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Bromocriptine sulfate (Parlodel)

    Quick Answer: 224

    Detailed Answer: 246

  • A client with pancreatic cancer has an infusion of TPN (Total Parenteral Nutrition). The doctor has ordered for sliding-scale insulin. The most likely explanation for this order is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Total Parenteral Nutrition leads to negative nitrogen balance and elevated glucose levels.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Total Parenteral Nutrition cannot be managed with oral hypoglycemics.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Total Parenteral Nutrition is a high-glucose solution that often elevates the blood glucose levels.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Total Parenteral Nutrition leads to further pancreatic disease.

    Quick Answer: 224

    Detailed Answer: 246

  • An adolescent primigravida who is 10 weeks pregnant attends the antepartal clinic for a first check-up. To develop a teaching plan, the nurse should initially assess:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The client’s knowledge of the signs of preterm labor

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The client’s feelings about the pregnancy

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Whether the client was using a method of birth control

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The client’s thought about future children

    Quick Answer: 224

    Detailed Answer: 246

  • An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    .45 normal saline

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Dextrose 1% in water

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Lactated Ringer’s

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Dextrose 5% in .45 normal saline

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered a thyroid scan to confirm the diagnosis of a goiter. Before the procedure, the nurse should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Assess the client for allergies.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Bolus the client with IV fluid.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Tell the client he will be asleep.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Insert a urinary catheter.

    Quick Answer: 224

    Detailed Answer: 246

  • The physician has ordered an injection of RhoGam for a client with blood type A negative. The nurse understands that RhoGam is given to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Provide immunity against Rh isoenzymes

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Prevent the formation of Rh antibodies

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Eliminate circulating Rh antibodies

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Convert the Rh factor from negative to positive

    Quick Answer: 224

    Detailed Answer: 246

  • The nurse is caring for a client admitted to the emergency room after a fall. X-rays reveal that the client has several fractured bones in the foot. Which treatment should the nurse anticipate for the fractured foot?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Application of a short inclusive spica cast

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Stabilization with a plaster-of-Paris cast

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Surgery with Kirschner wire implantation

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    A gauze dressing only

    Quick Answer: 224

    Detailed Answer: 246

  • A client with bladder cancer is being treated with iridium seed implants. The nurse’s discharge teaching should include telling the client to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Strain his urine

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Increase his fluid intake

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Report urinary frequency

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Avoid prolonged sitting

    Quick Answer: 224

    Detailed Answer: 247

  • Following a heart transplant, a client is started on medication to prevent organ rejection. Which category of medication prevents the formation of antibodies against the new organ?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Antivirals

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Antibiotics

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Immunosuppressants

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Analgesics

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing a client for cataract surgery. The nurse is aware that the procedure will use:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Mydriatics to facilitate removal

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Miotic medications such as Timoptic

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    A laser to smooth and reshape the lens

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Silicone oil injections into the eyeball

    Quick Answer: 224

    Detailed Answer: 247

  • A client with Alzheimer’s disease is awaiting placement in a skilled nursing facility. Which long-term plans would be most therapeutic for the client?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Placing mirrors in several locations in the home

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Placing a picture of herself in her bedroom

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Placing simple signs to indicate the location of the bedroom, bathroom, and so on

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Alternating healthcare workers to prevent boredom

    Quick Answer: 224

    Detailed Answer: 247

  • A client with an abdominal cholecystectomy returns from surgery with a Jackson-Pratt drain. The chief purpose of the Jackson-Pratt drain is to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Prevent the need for dressing changes

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Reduce edema at the incision

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Provide for wound drainage

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Keep the common bile duct open

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is performing an initial assessment of a newborn Caucasian male delivered at 32 weeks gestation. The nurse can expect to find the presence of:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Mongolian spots

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Scrotal rugae

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Head lag

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Polyhydramnios

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is caring for a client admitted with multiple trauma. Fractures include the pelvis, femur, and ulna. Which finding should be reported to the physician immediately?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Hematuria

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Muscle spasms

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Dizziness

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Nausea

    Quick Answer: 224

    Detailed Answer: 247

  • A client is brought to the emergency room by the police. He is combative and yells, “I have to get out of here. They are trying to kill me.” Which assessment is most likely correct in relation to this statement?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The client is experiencing an auditory hallucination.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The client is having a delusion of grandeur.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The client is experiencing paranoid delusions.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The client is intoxicated.

    Quick Answer: 224

    Detailed Answer: 247

  • The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client’s bedside table. There is no label to indicate the date or time of initial use. The nurse should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Lip the bottle and use a pack of sterile 4×4 for the dressing.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Obtain a new bottle and label it with the date and time of first use.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Ask the ward secretary when the solution was requested.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Label the existing bottle with the current date and time.

    Quick Answer: 224

    Detailed Answer: 247

  • An infant’s Apgar score is 9 at five minutes. The nurse is aware that the most likely cause for the deduction of one point is:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The baby is hypothermic.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    The baby is experiencing bradycardia.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The baby’s hands and feet are blue.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    The baby is lethargic.

    Quick Answer: 224

    Detailed Answer: 247

  • The primary reason for rapid continuous rewarming of the area affected by frostbite is to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Lessen the amount of cellular damage

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Prevent the formation of blisters

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Promote movement

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Prevent pain and discomfort

    Quick Answer: 224

    Detailed Answer: 248

  • A client recently started on hemodialysis wants to know how the dialysis will take the place of his kidneys. The nurse’s response is based on the knowledge that hemodialysis works by:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Passing water through a dialyzing membrane

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Eliminating plasma proteins from the blood

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Lowering the pH by removing nonvolatile acids

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Filtering waste through a dialyzing membrane

    Quick Answer: 224

    Detailed Answer: 248

  • During a home visit, a client with AIDS tells the nurse that he has been exposed to measles. Which action by the nurse is most appropriate?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Administer an antibiotic.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Contact the physician for an order for immune globulin.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Administer an antiviral.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Tell the client that he should remain in isolation for two weeks.

    Quick Answer: 224

    Detailed Answer: 248

  • A client hospitalized with MRSA is placed on contact precautions. Which statement is true regarding precautions for infections spread by contact?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    The client should be placed in a room with negative pressure.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Infection requires close contact; therefore, the door may remain open.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Transmission is highly likely, so the client should wear a mask at all times.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Infection requires skin-to-skin contact and is prevented by hand washing, gloves, and a gown.

    Quick Answer: 224

    Detailed Answer: 248

  • A client who is admitted with an above-the-knee amputation tells the nurse that his foot hurts and itches. Which response by the nurse indicates understanding of phantom limb pain?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    “The pain will go away in a few days.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    “The pain is due to peripheral nervous system interruptions. I will get you some pain medication.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    “The pain is psychological because your foot is no longer there.”

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    “The pain and itching are due to the infection you had before the surgery.”

    Quick Answer: 224

    Detailed Answer: 248

    Quick Answer: 224

    Detailed Answer: 248

  • A client with cancer of the pancreas has undergone a Whipple procedure. The nurse is aware that during the Whipple procedure, the doctor will remove the:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Head of the pancreas

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Proximal third section of the small intestines

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Stomach and duodenum

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Esophagus and jejunum

    Quick Answer: 224

    Detailed Answer: 248

  • The physician has ordered a minimal-bacteria diet for a client with neutropenia. The client should be taught to avoid eating:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Fruits

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Salt

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Pepper

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Ketchup

    Quick Answer: 224

    Detailed Answer: 248

  • A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Have a Protime done monthly.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Eat more fruits and vegetables.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Drink more liquids.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Avoid crowds.

    Quick Answer: 224

    Detailed Answer: 248

  • The nurse is assisting the physician with removal of a central venous catheter. To facilitate removal, the nurse should instruct the client to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Perform the Valsalva maneuver as the catheter is advanced

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Turn his head to the left side and hyperextend the neck

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Take slow, deep breaths as the catheter is removed

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Turn his head to the right while maintaining a sniffing position

    Quick Answer: 224

    Detailed Answer: 248

  • A client has an order for streptokinase. Before administering the medication, the nurse should assess the client for:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Allergies to pineapples and bananas

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    A history of streptococcal infections

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Prior therapy with phenytoin

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    A history of alcohol abuse

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is providing discharge teaching for the client with leukemia. The client should be told to avoid:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Using oil- or cream-based soaps

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Flossing between the teeth

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    The intake of salt

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Using an electric razor

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is changing the ties of the client with a tracheotomy. The safest method of changing the tracheotomy ties is to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Apply the new tie before removing the old one.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Have a helper present.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Hold the tracheotomy with the nondominant hand while removing the old tie.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Ask the doctor to suture the tracheostomy in place.

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client following a lung resection. The hourly output from the chest tube was 300mL. The nurse should give priority to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Turning the client to the left side

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Milking the tube to ensure patency

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Slowing the intravenous infusion

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Notifying the physician

    Quick Answer: 224

    Detailed Answer: 249

  • The infant is admitted to the unit with tetralogy of Fallot. The nurse would anticipate an order for which medication?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Digoxin

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Epinephrine

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Aminophyline

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Atropine

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is educating the lady’s club in self-breast exam. The nurse is aware that most malignant breast masses occur in the Tail of Spence. On the diagram, place an X on the Tail of Spence.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    Quick Answer: 224

    Detailed Answer: 249

  • The toddler is admitted with a cardiac anomaly. The nurse is aware that the infant with a ventricular septal defect will:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Tire easily

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Grow normally

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Need more calories

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Be more susceptible to viral infections

    Quick Answer: 224

    Detailed Answer: 249

  • The nurse is monitoring a client with a history of stillborn infants. The nurse is aware that a nonstress test can be ordered for this client to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Determine lung maturity

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Measure the fetal activity

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Show the effect of contractions on fetal heart rate

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Measure the well-being of the fetus

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse is evaluating the client who was admitted eight hours ago for induction of labor. The following graph is noted on the monitor. Which action should be taken first by the nurse?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Instruct the client to push.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Perform a vaginal exam.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Turn off the Pitocin infusion.

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Place the client in a semi-Fowler’s position.

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse notes the following on the ECG monitor. The nurse would evaluate the cardiac arrhythmia as:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Atrial flutter

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    A sinus rhythm

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Ventricular tachycardia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Atrial fibrillation

    Quick Answer: 224

    Detailed Answer: 250

  • A client with clotting disorder has an order to continue Lovenox (enoxaparin) injections after discharge. The nurse should teach the client that Lovenox injections should:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Be injected into the deltoid muscle

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Be injected into the abdomen

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Aspirate after the injection

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Clear the air from the syringe before injections

    Quick Answer: 224

    Detailed Answer: 250

  • The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Administer the medications together in one syringe

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Administer the medication separately

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Administer the Valium, wait five minutes, and then inject the Phenergan

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Question the order because they cannot be given at the same time

    Quick Answer: 224

    Detailed Answer: 250

  • A client with frequent urinary tract infections asks the nurse how she can prevent the reoccurrence. The nurse should teach the client to:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Douche after intercourse

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Void every three hours

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Obtain a urinalysis monthly

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Wipe from back to front after voiding

    Quick Answer: 224

    Detailed Answer: 250

  • Which task should be assigned to the nursing assistant?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Placing the client in seclusion

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Emptying the Foley catheter of the preeclamptic client

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Feeding the client with dementia

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Ambulating the client with a fractured hip

    Quick Answer: 224

    Detailed Answer: 250

  • The client has recently returned from having a thyroidectomy. The nurse should keep which of the following at the bedside?

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    A tracheotomy set

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    A padded tongue blade

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    An endotracheal tube

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    An airway

    Quick Answer: 224

    Detailed Answer: 250

  • The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    A.

    Cats

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    B.

    Dogs

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    C.

    Turtles

    What would the nurse do to increase safety when feeding Salisbury steak to a dependent patient?

    D.

    Birds

    Quick Answer: 224

    Detailed Answer: 250

    • What should you do when feeding a patient?

    Feeding techniques:.
    Treat resident with dignity and respect..
    Wash hands..
    Assure proper positioning of resident..
    Feed the resident small bites at a time..
    Alternate liquids with solids..
    Do not mix foods together..
    Cue resident to open mouth if necessary..
    Record intake as soon as possible after feeding resident..

    When assisting a patient who has self feeding difficulties Why would the nurse ask the patient to try to self feed?

    3. When assisting a patient who has self-feeding difficulties, why would the nurse ask the patient to try to self-feed? CORRECT. The nurse would ask the patient to try to self-feed in order to determine what specific assistance or assistive devices the patient needs during meals.

    Why would the nurse provide special instructions to nursing assistive personnel nap before feeding a patient with dysphagia?

    The nurse gives special instructions before the NAP feeds a patient with dysphagia because such teaching reduces the risk that the patient will aspirate food or fluids. The nurse will ensure that the meal served to the patient is appropriate; it is not the NAP's responsibility to determine which foods to avoid.

    What position should the patient be placed in when assisting a patient with meals?

    Assist the patient to sit in an upright position at a table in a dining room, in a chair by the bed or upright in bed if the patient cannot get up. This helps with swallowing and protects the airway (Dougherty and Lister, 2015). Eating in a dining room also makes the meal a social occasion.

    nurse increase safety feeding salisbury steak dependent patient

    zusammenhängende Posts

    What must the nurse do before assisting a patient on aspiration precautions with feeding quizlet?
    What must the nurse do before assisting a patient on aspiration precautions with feeding quizlet?

    Which food item should the nurse include in the diet plan of a patient with magnesium deficiency?
    Which food item should the nurse include in the diet plan of a patient with magnesium deficiency?

    Which mechanism would the nurse use to explain a patients insensible water loss of an estimated 900 mL day?
    Which mechanism would the nurse use to explain a patients insensible water loss of an estimated 900 mL day?

    Which of the following foods should the nurse include as an example of an incomplete protein?
    Which of the following foods should the nurse include as an example of an incomplete protein?

    The nurse is performing a general survey of a patient. which finding is considered normal?
    The nurse is performing a general survey of a patient. which finding is considered normal?

    Which client would the nurse conduct a developmental surveillance on during a scheduled health maintenance visit?
    Which client would the nurse conduct a developmental surveillance on during a scheduled health maintenance visit?

    When repositioning a patient what can the nurse do to prevent the patients hips from external rotation rolling outward )?
    When repositioning a patient what can the nurse do to prevent the patients hips from external rotation rolling outward )?

    A client is getting up for the first time after a period of bedrest. the nurse should first:
    A client is getting up for the first time after a period of bedrest. the nurse should first:

    Which of the following could put a nurse or healthcare worker at risk for sustaining a back injury?
    Which of the following could put a nurse or healthcare worker at risk for sustaining a back injury?

    The nurse should be aware that a pessary is most effective in the treatment of which disorder
    The nurse should be aware that a pessary is most effective in the treatment of which disorder

    Werbung

    NEUESTEN NACHRICHTEN

    Borderline wer ist schuld
    1 Jahrs vor . durch LunarLine-up
    Wer hat mich auf Instagram blockiert
    1 Jahrs vor . durch IncipientHeader
    Wie geht es dir was soll ich antworten?
    1 Jahrs vor . durch SolubleAuthority
    Kind 1 Jahr wie oft Fleisch
    1 Jahrs vor . durch ThirstyRepublic
    Was müssen Sie bei der Beladung von Fahrzeugen zu beachten?
    1 Jahrs vor . durch WaxedHeadquarters
    Schütz Die Himmel erzählen die Ehre Gottes
    1 Jahrs vor . durch ExtrinsicSaucer
    In planning an IS audit, the MOST critical step is the identification of the
    1 Jahrs vor . durch SteepPanther
    Wie lange darf eine Kaution einbehalten werden?
    1 Jahrs vor . durch SeasonalBanjo
    Sarah connor nicht bei voice of germany
    1 Jahrs vor . durch FloridIceberg
    Kann man mit dem Fachabitur Jura studieren?
    1 Jahrs vor . durch PolarIndecency

    Werbung

    Populer

    Werbung

    Um

    Legal

    Hilfe

    Sozial

    homeendefrjpkoptzhhiitthtr
    Urheberrechte © © 2024 ketiadaan Inc.