Question Of The Day: Musculoskeletal Disorders

Q. A nurse is caring for a client with lower back pain who is scheduled for myelography using metrizamide (a water-soluble contrast dye). After the test, the nurse should place the client in which position? A. Head of the bed elevated 45 degrees B. Prone C. Supine with feet raised D. Supine with the head lower than the trunk Correct Answer: A (adsbygoogle = window.adsbygoogle...

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Question Of The Day: Endocrine and Metabolic Disorders

Q. A client with type 1 diabetes must undergo bowel resection in the morning. How should the nurse proceed while caring for him on the morning of surgery? A. Administer half of the client's typical morning insulin dose as ordered. B. Administer an oral antidiabetic agent as ordered. C. Administer an I.V. insulin infusion as ordered. D. Administer the client's normal daily...

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Question Of The Day: Gastrointestinal Disorders

Q. The comatose victim of the car accident is to have a gastric lavage. Which of the following positions would be most appropriate for the client during this procedure? A. Lateral. B. Supine. C. Trendelenburg's. D. Lithotomy. Correct Answer: A (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: An unconscious client is best positioned in a lateral...

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Question Of The Day: Oncologic Disorders

Q. A young man with early-stage testicular cancer is scheduled for a unilateral orchiectomy. The client confides to the nurse that he is concerned about what effects the surgery will have on his sexual performance. Which of the following responses by the nurse provides accurate information about sexual performance after an orchiectomy? A. "Most impotence resolves in a...

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Question Of The Day: Cardiovascular Disorders

Q. Before discharge, which instruction should a nurse give to a client receiving digoxin (Lanoxin)? A. "Take an extra dose of digoxin if you miss one dose." B. "Call the physician if your heart rate is above 90 beats/minute." C. "Call the physician if your pulse drops below 80 beats/minute." D. "Take digoxin with meals." Correct Answer: B (adsbygoogle = window.adsbygoogle...

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Question Of The Day: Postpartum Period

Q. The nurse is assessing a client at her postpartum checkup 6 weeks after a vaginal delivery. The mother is bottle feeding her baby. Which client finding indicates a problem at this time? A. Firm fundus at the symphysis. B. White, thick vaginal discharge. C. Striae that are silver in color. D. Soft breasts without milk. Correct Answer: A (adsbygoogle = window.adsbygoogle...

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Question Of The Day: Intrapartum Period

Q. A client with Rh isoimmunization gives birth to a neonate with an enlarged heart and severe, generalized edema. The neonate is immediately transferred to the neonatal intensive care unit. Which nursing diagnosis is most appropriate for the client? A. Ineffective denial related to a socially unacceptable infection B. Impaired parenting related to the neonate's transfer...

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Question Of The Day: Antepartum Period

Q. A client has an episiotomy to widen her birth canal. Birth extends the incision into the anal sphincter. This complication is called: A. a first-degree laceration. B. a second-degree laceration. C. a third-degree laceration. D. a fourth-degree laceration. Correct Answer: C (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: Birth may extend...

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Question Of The Day: Psychotic Disorders

Q. A client has refused to take a shower since being admitted 4 days earlier. He tells a nurse, "There are poison crystals hidden in the showerhead. They'll kill me if I take a shower." Which nursing action is most appropriate? A. Dismantling the showerhead and showing the client that there is nothing in it B. Explaining that other clients are complaining about the client's...

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Question Of The Day: Mood, Adjustment, and Dementia Disorders

Q. The major goal of therapy in crisis intervention is to: A. withdraw from the stress. B. resolve the immediate problem. C. decrease anxiety. D. provide documentation of events. Correct Answer: B (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: During a period of crisis, the major goal is to resolve the immediate problem, with hopes of getting...

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Question Of The Day: Foundations of Psychiatric Nursing

Q. A nurse is instructing a client with bipolar disorder on proper use of lithium carbonate (Eskalith), the drug's adverse effects, and symptoms of lithium toxicity. Which client statement indicates that additional teaching is required? A. "I can still eat my favorite salty foods." B. "When my moods fluctuate, I'll increase my dose of lithium." C. "A good blood level of...

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Question Of The Day: Toddler

Q. A child, age 3, is brought to the emergency department in respiratory distress caused by acute epiglottiditis. Which clinical manifestations should the nurse expect to assess? A. Severe sore throat, drooling, and inspiratory stridor B. Low-grade fever, stridor, and a barking cough C. Pulmonary congestion, a productive cough, and a fever D. Sore throat, a fever, and...

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Question Of the Day: Infant

Q. A 10-month-old child has cold symptoms. The mother asks how she can clear the infant's nose. Which of the following would be the nurse's best recommendation? A. Use a cool air vaporizer with plain water. B. Use saline nose drops and then a bulb syringe. C. Blow into the child's mouth to clear the infant's nose. D. Administer a nonprescription vasoconstrictive nose spray. Correct...

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Question Of The Day: The Nursing Process

Q. A nurse is documenting a variance that has occurred during the shift, and this report will be used for quality improvement to identify high-risk patterns and potentially initiate in-service programs. This is an example of which type of report? A. Incident report. B. Nurse's shift report. C. Transfer report. D. Telemedicine report. Correct Answer: A (adsbygoogle...

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Question Of The Day: Medication and I.V. Administration

Q. To prevent development of peripheral neuropathies associated with isoniazid administration, the nurse should teach the client to: A. Avoid excessive sun exposure. B. Follow a low-cholesterol diet. C. Obtain extra rest. D. Supplement the diet with pyridoxine (vitamin B6). Correct Answer: D (adsbygoogle = window.adsbygoogle || []).push({}); Explanation:...

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Question Of The Day: Basic Physical Care

Q. A nurse is caring for a client who required chest tube insertion for a pneumothorax. To assess for pneumothorax resolution, the nurse can anticipate that the client will require: A. monitoring of arterial oxygen saturation (SaO2). B. arterial blood gas (ABG) studies. C. chest auscultation. D. a chest X-ray. Correct Answer: D (adsbygoogle = window.adsbygoogle ||...

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Question Of The Day: Genitourinary Disorders

Q. When caring for a client after a closed renal biopsy, the nurse should? A. Maintain the client on strict bed rest in a supine position for 6 hours. B. Insert an indwelling catheter to monitor urine output. C. Apply a sandbag to the biopsy site to prevent bleeding. D. Administer I.V. opioid medications to promote comfort. Correct Answer: A (adsbygoogle = window.adsbygoogle...

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Question Of The Day: Respiratory Disorders

Q. The physician ordered I.V. naloxone (Narcan) to reverse the respiratory depression from morphine administration. After administration of the naloxone the nurse should: A. Check respirations in 5 minutes because naloxone is immediately effective in relieving respiratory depression. B. Check respirations in 30 minutes because the effects of morphine will have worn off...

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Question Of The Day: Neurosensory Disorders

Q. The client with a hearing aid does not seem to be able to hear the nurse. The nurse should do which of the following? A. Contact the client's audiologist. B. Cleanse the hearing aid ear mold in normal saline. C. Irrigate the ear canal. D. Check the hearing aid's placement. Correct Answer: D (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: Inadequate...

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Question Of The Day: Musculoskeletal Disorders

Q. A client has a herniated disk in the region of the third and fourth lumbar vertebrae. Which nursing assessment finding most supports this diagnosis? A. Hypoactive bowel sounds B. Severe lower back pain C. Sensory deficits in one arm D. Weakness and atrophy of the arm muscles Correct Answer: B (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: The...

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Question Of The Day: Endocrine and Metabolic Disorders

Q. The best indicator that the client has learned how to give an insulin self-injection correctly is when the client can: A. Perform the procedure safely and correctly. B. Critique the nurse's performance of the procedure. C. Explain all steps of the procedure correctly. D. Correctly answer a posttest about the procedure. Correct Answer:  A (adsbygoogle = window.adsbygoogle...

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Question Of The Day: Gastrointestinal Disorders

Q. A client has a nasogastric tube inserted at the time of abdominal perineal resection with permanent colostomy. This tube will most likely be removed when the client demonstrates: A. Absence of nausea and vomiting. B. Passage of mucus from the rectum. C. Passage of flatus and feces from the colostomy. D. Absence of stomach drainage for 24 hours. Correct Answer: C (adsbygoogle...

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Question Of The Day: Oncologic Disorders

Q. The American Cancer Society recommends routine screening to detect colorectal cancer. Which screening test for colorectal cancer should a nurse recommend? A. Carcinoembryonic antigen (CEA) test after age 50 B. Proctosigmoidoscopy after age 30 C. Annual digital examination after age 40 D. Barium enema after age 20 Correct Answer: C (adsbygoogle = window.adsbygoogle...

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Question Of The Day: Cardiovascular Disorders

Q. A client with a past medical history of ventricular septal defect repaired in infancy is seen at the prenatal clinic. She is complaining of dyspnea with exertion and being very tired. Her vital signs are 98, 80, 20, BP 116/72. She has + 2 pedal edema and clear breath sounds. As the nurse plans this client's care, which of the following is her cardiac classification according...

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Question Of The Day: Postpartum Period

Q. After being treated with heparin therapy for thrombophlebitis, a multiparous client who delivered 4 days ago is to be discharged on oral warfarin (Coumadin). After teaching the client about the medication and possible effects, which of the following client statements indicates successful teaching? A. "I can take two aspirin if I get uterine cramps." B."Protamine sulfate...

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Question Of The Day: Intrapartum Period

Q. A nurse is assessing a woman in labor. Her cervix is dilated 8 cm. Her contractions are occurring every 2 minutes. She's irritable and in considerable pain. What type of breathing should the nurse instruct the woman to use during the peak of a contraction? A. Deep breathing B. Shallow chest breathing C. Deep, cleansing breaths D. Chest panting Correct Answer: B (adsbygoogle...

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Question Of The Day: Antepartum Period

Q. A client who is 32 weeks pregnant presents to the emergency department with bright red bleeding and no abdominal pain. A nurse should first: A. perform a pelvic examination. B. assess the client's blood pressure. C. assess the fetal heart rate. D. order a stat hemoglobin and hematocrit. Correct Answer: C (adsbygoogle = window.adsbygoogle || []).push({}); Explanation: The...

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Work Environment Affects Nurses’ Job and Patient Outcomes

A comprehensive study has confirmed that across the world, the environment in which nurses’ work influences the quality of nursing care, nurses’ job outcomes and patient well-being. These findings should convince health administrators to give more attention to working environments, according to the researchers. (adsbygoogle = window.adsbygoogle || []).push({}); “Our...

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Question Of The Day: Substance Abuse, Eating Disorders, Impulse Control Disorders

Q. A client with a history of polysubstance abuse is admitted to the facility. He complains of nausea and vomiting 24 hours after admission. The nurse who assesses the client notes piloerection, pupillary dilation, and lacrimation. The nurse suspects that the client is going through withdrawal from which substance? A. Alcohol B. Cannabis C. Cocaine D. Opioids Correct...

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