Nokea
A nurse is showing a newly licensed nurse how to use a mechanical lift. Which of the following statements by the newly licensed nurse indicates an understanding of this assistive device?
- A. The sides of the sling are for the client to hold on to.
- B. This type of device is useful for a client who cannot assist.
- C. The lower end of the sling goes below the client's calves.
- D. The device requires the client to use upper body strength.
Correct Answer: B
Rationale: Mechanical lifts aid clients unable to assist, ensuring safe transfers.
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A home health nurse is reinforcing teaching about dietary needs with the child of a client. They state, 'I don't know what to do because they're not eating.' Which of the following responses should the nurse make?
- A. Tell me more about what happens at mealtime.
- B. They may need a feeding tube.
- C. Have you tried offering different foods?
- D. Let's discuss ways to encourage their appetite.
Correct Answer: A
Rationale: Exploring mealtime details provides insight into the client’s eating issues.
A nurse is wearing sterile gloves in preparation for assisting with a client's sterile procedure. While waiting for the procedure to begin, how should the nurse position their hands?
- A. Place one hand over the other against the part of the gown covering their upper body.
- B. Clasp their hands together in a relaxed position behind their body at their waist.
- C. Keep their arms at the sides of their body with their hands in a relaxed position.
- D. Interlock their fingers and hold their hands away from their body above their waist.
Correct Answer: D
Rationale: Interlocking fingers above the waist prevents contamination of sterile gloves.
A nurse is caring for a client who had an indwelling urinary catheter inserted 3 days ago. Which of the following actions should the nurse take?
- A. Use a catheter securing device to hold the catheter in place.
- B. Obtain urine from the drainage bag if a urinary specimen is required.
- C. Change the catheter bag every 3 days and as needed.
- D. Position the drainage bag higher than the client's bladder.
Correct Answer: A
Rationale: Securing the catheter prevents movement and reduces infection risk.
A nurse is assisting in creating a plan to reduce environmental stressors for clients in an acute care unit. Which of the following actions should the nurse include in the plan?
- A. Restrict the number of visitors for clients.
- B. Turn on loud music in client care areas.
- C. Offer the clients many choices regarding care.
- D. Assign different nurses to provide care for clients each day.
Correct Answer: A
Rationale: Restricting visitors minimizes noise and stress, promoting a healing environment.
A nurse is assisting in the care of a client who is postoperative following a hip arthroplasty in the orthopedic unit. The primary health care provider has prescribed pain management and positioning strategies to prevent complications. Complete the following sentence by using the lists of options. The client is at risk for developing ___ due to ___.
- A. Constipation
- B. Opioid use
- C. indigestion
- D. water consumption
Correct Answer: A,B
Rationale: A: Opioids slow bowel motility. B: Common side effect of pain management.