Question: A patient who is dying of cancer tells the nurse that he is in extreme pain. Which of the following principles should the nurse adhere to when managing pain in a dying patient? Select all that apply. Answer: A.  Determine if the patient has developed drug tolerance D.  Discuss increasing the dose of pain […]

Question: A nurse is assessing a patient who is being admitted to the long-term care facility where she works. The nurse is utilizing the Katz Index of Independence in Activities of Daily Living. Which activities would the nurse assess for when considering activities of daily living? Select all that apply. Answer: C. Using the toilet […]

Question: A nurse is caring for a patient who is recovering from a stroke and who has difficulties swallowing. The patient must have all liquids thickened to a nectar consistency. Which of the following is a true statement regarding this consistency of liquids? Select all that apply. Answer: A. Nectar-thick liquids can be poured. C. […]

Question: A patient who is recovering from surgery has been ordered to have a full liquid diet. Which foods would the nurse provide for this patient that would be consistent with this diet? Select all that apply. Answer: A.  Ice cream B.  Milk E.  Pudding Rationale:  A full liquid diet is one given to a […]

Question: A nurse is using a TENS device to help a patient with his low back pain. Which of the following considerations should the nurse keep in mind when using this type of device? Select all that apply. Answer: A. The TENS unit involves electrical stimulation C.  A pregnant patient may not be able to use […]

Question: A nurse must position the patient prone after his diagnosis of acute respiratory distress syndrome (ARDS). Which of the following is a benefit of using this position? Select all that apply. Answer: A. Decreased atelectasis C. Mobilization of secretions D. Decreased fluid accumulation Rationale:  Prone positioning, or placing the patient face down with the head turned […]

Question: A nurse is working with a client who has been confined to his bed for the past week because of illness. While turning this patient, the nurse notes a stage II pressure ulcer on his sacrum. Which action is most appropriate in responding to this finding? Select all that apply. Answer: D. Support the […]

Question: A nurse is caring for a patient who has been immobile for the past three weeks while recovering from surgery. The patient has been deteriorating in health because of his lack of activity. Based on the nurse’s knowledge of the effects of immobility, which describes the cardiovascular complications that can develop because of immobility? […]

Question: A 76-year-old patient has urinary incontinence diagnosed because of instability of the detrusor muscle. Which of the following describes a form of management of this type of incontinence? Select all that apply. Answer: A. Anticholinergic drugs, such as Ditropan B. Bladder training Rationale:  Incontinence caused by instability of the detrusor muscle in the bladder […]

Question: A patient with Alzheimer’s disease has had difficulties eating and is not getting enough nutrients in his diet. The patients daughter asks the nurse if there is anything that can be done to improve his nutrition intake. Which recommendation should the nurse give? Answer: B.  Use less salt when cooking and serving food Rationale:  […]