Question 1

The nurse assists a very tall, obese male client to a standing position each morning. The nurse should,,,,,,,,,*

A. Keep her feet close together

B. Move slightly away from the client as he begins to stand

C. Stand on her tiptoes when the client is in a standing position to keep their center of gravity closer together

D. Assess the client's weight and consider asking another nurse to assist her

Question 2

Nurse's Responsibility during Discharging a Patient are the following, EXCEPT:*

A. Teaching the patient about Medications (Treatments); Activity; Diet.

B. Do final assessment of physical and emotional status of the patient and the ability to continue own care

C. Check for orders that a patient need to be discharged

D. Show movies to the patient, offer books, magazines and newspapers before discharge.

Question 3

While ambulating in the hallway of a hospital, the client complains of extreme dizziness. The nurse, alert to a syncopal episode (temporary loss of consciousness), should first:*

A. Support the client and walk quickly back to the room

B. Lean the client against the wall until the episode passes

C. Lower the client gently to the floor

D. Call for help

Question 4

The nurse is caring for a client who is paralyzed on the right side. Which of the following factors is most likely to result in decubitus ulcer formation?*

A. Poor nutrition

B. Immobility

C. Reduced hydration

D. skin secretions

Question 5

Nursing care for clients at risk of deep vein thrombosis includes applying elastic stockings/bandage on the lower limbs. The Nurse Betty is aware that the rationale for this intervention?*

A. To increase blood flow to the heart

B. To observe the lower extremities

C. To allow the leg muscles to stretch and relax

D. To permit vein in the legs to fill with blood

Question 6

Which of the following is indicated when the client is to have passive range-of-motion exercises performed by the nurse?*

A. Exercise the joint beyond the point of slight resistance.

B. Perform movements quickly.

C. Perform each movement one time during the session.

D. Institute exercises as soon as the client's ability to move the extremity is lost

Question 7

A client is getting up for the first time after a period of bed rest. The nurse should first:*

A. Obtain a baseline blood pressure

B. Assist the client to sit at the edge of the bed

C. Assess the respiratory function

D. Ask the client if he/she feels lightheaded

Question 8

The nurse notes that a client’s skin is reddened with a small abrasion and serous fluid present. The nurse should classify this stage of ulcer formation as:*

A. Stage 1

B. Stage 2

C. Stage 3

D. Stage 4

Question 9

The nurse observes that Mr. Adams begins to have increased difficulty breathing. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. The nurse documents this breathing as:*

A. Tachypnea

B. Eupnea

C. Orthopnea

D. Hyperventilation

Question 10

Which site is the greatest risk for skin breakdown when the patient is lying in a lateral position?*

A. Greater trochanter

B. Ischial tuberosity

C. Occipital

D. Scapulae

Submit Quiz