Basic Care and Comfort

Which food is best for a patient with hypokalemia?

The nurse is caring for a 50-year-old female patient who is diagnosed with diabetes insipidus. The patient complains of frequent voiding. Which of the following diet types could be helpful in reducing urination?

The nurse is caring for a 48-year-old female diagnosed with acute kidney injury. Laboratory results reveal that the patient is experiencing mild hyperkalemia. Which independent nursing action is appropriate to manage the patient's hyperkalemia?

The nurse observes the affected eye of the patient with newly diagnosed Bell's palsy is not closing fully and performs which interventions? Select all that apply.

The 5-year-old boy with measles cries when the nurse enters the room and turns on the lights. The nurse is most concerned about which reason behind the patient's behavior?

Which personal hygiene interventions will increase the patient’s risk for infection? Select all that apply.

The physical therapist has recommended active range-of-motion exercises for a patient who had shoulder surgery. Which statement is true regarding the exercises?

The nurse is instructing the student nurse on proper sterile technique. Which statements are included in the teaching? Select all that apply.

The nurse is caring for the patient with a nursing diagnosis of sleep pattern disturbance. Which are appropriate outcomes for this diagnosis? Select all that apply.

The 61-year-old patient with liver cirrhosis reports extreme fatigue on a daily basis. The nurse pursues which intervention?

The nurse is instructing the unlicensed assistive personnel (UAP) on the proper care of dentures. Which actions by the UAP indicate an understanding of the teaching? Select all that apply.

The nurse is helping a woman who is 12 weeks pregnant develop a diet plan. Which initial action by the nurse is appropriate?

The nurse receives report on the 6-month-old child with a congenital abnormality of the hip who is in Bryant's traction. Which observation upon entering the patient's room indicates the patient is positioned appropriately? 

The nurse is caring for the patient who is recovering from an ischemic stroke. The speech therapist recommended all liquids to be thickened to a nectar consistency. The nurse provides which information to the patient about nectar-thick liquid? Select all that apply.

The woman who delivered her first baby will be discharged tomorrow. After a bedside education program in the hospital, the patient tells the nurse that she does not have a crib, bottles, or diapers to care for her new baby. Which action is most appropriate?

The patient with an ileus is on bed rest after abdominal surgery. A nasogastric tube (NG) is in place because of severe vomiting and significant abdominal distention. Which statement is true regarding management of this patient? 

The nurse is discharging a patient after fecal disimpaction in the emergency department (ED). Which statement by the patient indicates a need for further teaching?

The registered nurse is providing an inservice on recognizing urinary tract infections (UTI) in older adults for the staff of the long-term care facility. The nurse reminds the staff to be vigilant for which symptom, which may be the only indicator of a UTI in the older adult patient?

Following a stroke, the older client in a nursing home experiences chronic pain. The nurse plans care to prevent which complications in this patient? Select all that apply.

The 78-year-old male patient diagnosed with Parkinson’s disease verbalizes frustration with his incontinence of urine. The nurse provides education about which type of incontinence associated with neurological disorders and detrusor hyperreflexia?

The nurse requests analgesia for the 76-year-old patient who must undergo cleansing and dressing change for a healing stage 3 pressure ulcer on the coccyx. In response, the provider ordered topical EMLA cream to be applied to the wound 30 minutes before the procedure. Which action by the nurse is appropriate?

The nurse administers two different drugs to a patient. Neither drug appears to have the desired effect. Which term describes this drug interaction?

The nurse is teaching a woman ways to prevent mastitis. Which statement by the patient indicates that more teaching is needed?

The nurse is supervising the nursing student in the provision of a complete bed bath to the patient. Which action by the nursing student indicates successful learning?

The physical therapist trained a patient with stress incontinence how to perform pelvic floor muscle (Kegel) exercises. Which statement by the patient suggests more education is needed?

The nurse observes the following pupils in the patient just brought into the emergency department by ambulance: (R,L) The nurse immediately prepares the patient for which test?

The nurse is caring for a patient who experienced traumatic limb loss of her upper and lower right extremities. The patient is ready to begin regaining her strength and relearning life skills such as eating, dressing, and hygiene. The nurse enlists the help of which member of the healthcare team to assist the patient with learning these tasks?

The success of distraction and massage as pain management techniques is described by which theory of pain?

During an admission assessment, the patient reports burning pain that shoots up the leg. The nurse uses which term to document this patient’s pain?

The 18-year-old patient presents to the emergency department (ED) complaining of severe pain in the ankle after falling at work. Range of motion in the ankle is decreased and +1 edema is present. On x-ray, the bones of the foot and ankle are intact and the patient is diagnosed with a mild sprain. How does the nurse assess this patient’s pain?

Which assessments indicate the patient is experiencing chronic pain? Select all that apply.

Two days after undergoing surgery for a ruptured appendix, the patient responds to the nurse in only short, clipped statements, becoming visibly frustrated and angry during a routine vital signs check. Which response by the nurse is most appropriate?

The nurse recommends transcutaneous electrical nerve stimulation (TENS) to which patients? Select all that apply.

The nurse plans care to assist the patient with cognitive-behavioral strategies to reduce pain at which time?

The patient is recovering from a lower spinal cord injury that has resulted in paraplegia and lack of sensation below the umbilicus. Which instruction is most important to help the patient protect skin integrity?

The nurse elevates the legs of the patient with congestive heart failure who has significant dependent edema. Which rationale does the nurse give the patient for this intervention?

The patient receiving hospice care reports constant, severe dry mouth. Which interventions does the nurse include in the patient's care plan? Select all that apply.

The patient with dementia has experienced unintentional weight loss of 20 pounds due to decreased food intake. The patient's caregiver asks the nurse about nutritional drinks and shakes. Which response by the nurse is most appropriate?

During the initial home visit, the home health nurse assesses which of the elderly patient's basic activities of daily living? Select all that apply.

A home care nurse is visiting an elderly patient. The nurse performs an assessment of instrumental activities of daily living. Which of the following will be included in this assessment? Select all that apply.

Body mass index (BMI) is calculated using which measurement(s)?

The patient who eats a vegan diet requires assistance selecting meals while inpatient. Which items does the nurse select for the patient? Select all that apply.

The patient with a spinal cord injury has a history of recurrent urinary tract infections due to an inability to completely empty the bladder. The nurse provides the patient with which instruction?

The nurse is helping the patient with amyotrophic lateral sclerosis to select food for a meal. Which meal choice is appropriate?

The nurse is caring for a patient with Guillain-Barré syndrome. The patient has an order for a pureed diet. Which assessment prompts the nurse to clarify the order with the provider?

The patient presents to primary care with two round patches of hair loss on his scalp. He reports no trauma or symptoms aside from the hair loss. The nurse gathers information about his environment, including his workplace. The patient states he recently moved to the area for a new job and that his wife, who is pregnant with their first child, works at the same company. Which diagnosis does the nurse anticipate this patient will receive?

The nurse plans which intervention for the patient with toxic epidermal necrolysis?

The patient requires an indwelling catheter to be placed prior to surgery. Which action does the nurse take first?

The patient has been prescribed an irrigation for the right eye. The nurse assists the patient into which position?

The nurse is supervising the student nurse in the irrigation of the patient’s right eye. Which action by the student nurse prompts the nurse to intervene with additional education?