Custom: Fundamental Content Mastery Practice Questions 1

Malpractice

The client faces the direction of movement when sliding an object across the floor

Performs active range-of-motion (ROM) exercises of all extremities

Place an alarm under the client's mattress

"What have you done in the past to cope with this issue?"

0.2mg

Anterior segment of the right upper lobe

Tie linen bags securely at the top

Witness the client's signature

Condyloid

A systolic murmur

Decreased muscle mass

Elevate the head of the bed

Ask the client to push her legs and feet against the nurse's palms

Reporting laboratory findings to a member of the client's family

Intimacy versus isolation

fecal impaction, postural hypotension

Close the curtain around the client's bed

Bend at the knees when picking up an object

Repeat the auscultation after asking the client to breathe deeply and cough

When the client has the urge to defecate

apply a nonocclusive dressing, tension pneumothorax

Lower the client to the floor

BUN 28 mg/dL

Use the side of a fingertip as the puncture site

Place clean linen that touched the floor in the soiled linen bag

Determine if the client will have an autopsy, cover the body with a clean sheet and place the arms outside of the sheet, give the client's personal belonging s to the family

Battery

Client concerns

ball and socket

An increase in neutrophils, localized edema

Administer 1 g of vancomycin intrathecally

monitor the client's intake and output, weigh the client daily, instruct the client to sit on the side of the bed for a few minutes before standing, check the client's orientation to person, place, and time regularly

False Imprisonment (Intentional Tort)

"Respite care allows the primary caregiver time away from day-to-day care responsibilities"

Discontinue the existing IV infusion

Encourage the client to drink more fluids

Provide information about how to reduce risk factors of hypertension

Posterior segments of both lower lobes

Nausea

lower the head of the bed

Muscle distortion, pain behind the ear, impaired taste

"client found lying on the floor with a 3-cm laceration 1 cm above eyebrow. Client oriented to name only"

"I will use ink pens for writing"

Laceration

Client's self-report of pain

Hyperextension

Extension

"I decline the opportunity at this time"

"Move both crutches forward, then lift and move your body past the crutches"

Abduction

Establishes a close relationship with another person

154/96 mm Hg

Instruct the client on use of call light, check on the client hourly, apply an ambulation alarm to the client's leg

To promote digestion

Determine if the client uses a hearing aid

30

"I have a set of my brother's crutches in my basement that I can also use"

Remove gloves, remove goggles, remove gown, remove N95 mask, perform hand hygiene

Grasp a fold of skin on the client's forearm or near the sternum

At the client's bedside before administration

Place the tube in a basin of water, measure how far to insert the tube, lubricate the tip of the tube, insert the tube, obtain an x-ray

"You'll have to remove metal objects such as watches and body jewelry"

"the incision looks like it is healing"

Airborne

"When walking, move your left foot forward"

A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning. The nurse reports the findings to the provider in the early afternoon.

Take the client to the bathroom on a regular schedule

Materials should be culturally diverse, information must be accurate and current, materials should be written in the client's spoken language, materials should be distributed to the client in advance

Administering a tetanus immunization

Vibration

Integrity vs. Despair

Health care team members caring for the client

Administer the medication under the client's tongue

100

Contact

Raise the head of the bed

1,140

pH 7.31

1100

"You seem upset about your blood pressure"

"I should keep medication in my nebulizer at all times"

Narrative interaction

Identify the clients at greatest risk for development of pressure ulcers

Posterior segment of the right lower lobe

Temperature 38.9 C (102 F), potassium 3.3 mEq/L (3.5 to 5.0 mEq/L), stool culture positive for Clostridium difficile (negative)

Stimulate the immune system

perform hand hygiene, place the sterile package on the work surface, open the outermost flap of the package away from the body, open the side flaps of the package, open the innermost flap of the package toward the body, use the inner surface of the package as a sterile field

Education, gender, perception

Reassure the client

Document restraint checks every 2 hr, educate the client's family about restraint use, implement passive range-of-motion exercises

Have a second nurse witness the disposal of the excess medication

Chloride 102 mEq/L, blood pressure 120/78 mm Hg, respiratory rate 18/min, oxygen saturation 98%

Metformin 500mg one tablet daily

Cracks in oral mucous membranes

Active range-of-motion exercises of the left leg

Sharing passwords for computer access with colleagues

Chlorine

Mask

"When the client moves, he should move the cane forward first"