Nokea
A client hospitalized with bipolar disorder, manic phase, begins to talk loudly, pace the floor, and shout commands to others in the day room as he quickly changes the TV channels. The nurse's first action should include:
- A. Checking the client's medication order
- B. Escorting the client from the day room
- C. Placing the client in seclusion
- D. Finding out whether the client's behavior is upsetting others in the day room
Correct Answer: B
Rationale: Escorting the client from the day room de-escalates the situation by removing them from a stimulating environment, reducing agitation.
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A 13 year old girl is admitted to the ER with lower right abdominal discomfort. The admitting nursing should take which the following measures first?
- A. Administer Loritab to the patient for pain relief.
- B. Place the patient in right sidelying position for pressure relief.
- C. Start a Central Line.
- D. Provide pain reduction techniques without administering medication.
Correct Answer: D
Rationale: Do not administer pain medication or start a central line without MD orders.
A 52-year-old woman has an appendectomy for a ruptured appendix. The nurse observes a student nurse perform a wet-to-dry dressing change on the 2-in incision.
Which of the following behaviors, if performed by the student nurse, would require an intervention by the nurse?
- A. The old dressing is saturated with sterile saline before it is removed.
- B. Dry dressings are placed over the saline-saturated gauze in the incision.
- C. Wound debris and necrotic tissue are removed with the old dressing.
- D. The gauze is saturated with sterile saline before it is packed into the incision.
Correct Answer: A
Rationale: Strategy: 'Require an intervention' indicates an incorrect action. (1) correct-should be removed dry so wound debris and necrotic tissue are removed with old dressing (2) done to protect clothing and bedding (3) purpose of wet-to-dry dressing (4) appropriate procedure
When admitting a client who has acute glomerulonephritis, the nurse expects that the client will report which information?
- A. Recent bladder infection
- B. History of previous kidney infections
- C. Pharyngitis three weeks ago
- D. Multiple sexual partners
Correct Answer: C
Rationale: Acute glomerulonephritis is often post-streptococcal, following pharyngitis. Bladder/kidney infections or sexual partners are less directly related.
The nurse is evaluating the progress of a client who has had a cerebrovascular accident and realizes there has been limited progress. What should the nurse do?
- A. Transfer the client to another caregiver
- B. Reassess the goals with the client
- C. Request a longer hospital stay
- D. Role play the current plan with the client
Correct Answer: B
Rationale: Reassessing goals adjusts the care plan to the client's current abilities, optimizing recovery post-CVA.
In evaluating the growth of a 12 month-old child, which of these findings would the nurse expect to be present in the infant?
- A. Increased 10% in height
- B. 2 deciduous teeth
- C. Tripled the birth weight
- D. Head > chest circumference
Correct Answer: C
Rationale: Tripled the birth weight. Infants typically triple their birth weight by 12 months.