Basic Physical care (Part 2)

114 Questions | Total Attempts: 329

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Basic Physical care (Part 2)

Physical care is the type of care given to someone who is facing a health problem or issue in order to get him or her back to working condition. The quiz below is the second in the series of tests that to see how equipped you are to offer basic care to your loved ones. Give it a try!


Questions and Answers
  • 1. 
    A nurse works on a general medical-surgical unit where nurses work on 12-client pods. Each pod is staffed by two registered nurses. When one of the nurses leaves the unit for any reason, the other nurse cares for all 12 clients. If she needs help, she can call the agency's in-house resource nurse. One evening, the remaining nurse, who was making rounds of the other nurse's clients, found medications left at bedsides and a client with a blood-draw tourniquet on his arm. In addressing the problems, the nurse should:
    • A. 

      Inform the nurse-supervisor right away.

    • B. 

      Correct the problems and submit a written report.

    • C. 

      Speak to the coworker when she returns to the unit.

    • D. 

      Ask for a meeting with the coworker and a manager.

  • 2. 
    A postoperative client receives a lunch tray with milk, custard, and vanilla ice cream. What is the client's current diet order?
    • A. 

      American Dietetic Association Exchange diet

    • B. 

      Full-liquid diet

    • C. 

      Clear liquid diet

    • D. 

      BRAT diet

  • 3. 
    Which assessment is most supportive of the nursing diagnosis, Impaired skin integrity related to purulent wound drainage?
    • A. 

      A heart rate of 88 beats/minute

    • B. 

      Wound healing by primary intention

    • C. 

      Oral temperature of 101° F (38.3° C)

    • D. 

      Dry and intact wound dressing

  • 4. 
    A client is scheduled for an appendectomy. What is the nurse's highest priority when planning preoperative teaching for this client?
    • A. 

      The client should begin coughing and deep-breathing exercises as soon as he's able to follow instructions.

    • B. 

      Surgical wound infection is most likely to occur during the first postoperative day.

    • C. 

      The client should be encouraged to take food and fluids to prevent dehydration and malnutrition.

    • D. 

      The client's skin should be assessed hourly.

  • 5. 
    A nurse is reviewing a client's laboratory test results. Which electrolyte is the major cation controlling a client's extracellular fluid (ECF) osmolality?
    • A. 

      Potassium

    • B. 

      Sodium

    • C. 

      Chloride

    • D. 

      Calcium

  • 6. 
    To evaluate a client for hypoxia, the physician is most likely to order which laboratory test?
    • A. 

      Red blood cell count

    • B. 

      Sputum culture

    • C. 

      Total hemoglobin

    • D. 

      Arterial blood gas (ABG) analysis

  • 7. 
    A client in a long-term care facility refuses to take his oral medications. The nurse threatens that she will apply restraints and inject the medication if he doesn't take it orally. The nurse's statement constitutes which legal tort?
    • A. 

      Assault

    • B. 

      Battery

    • C. 

      Negligence

    • D. 

      Right to refuse care

  • 8. 
    A client who's dehydrated has urinary incontinence and excoriation in the perineal area. Which action would be a priority?
    • A. 

      Keeping the perineal area clean and dry

    • B. 

      Offering the client the urinal every 3 hours

    • C. 

      Maintaining a fluid intake of 1 L/day

    • D. 

      Applying moist, warm compresses to the client's groin

  • 9. 
    An obese, malnourished client has undergone abdominal surgery. While ambulating on the fourth postoperative day, she complains to the nurse that her dressing is saturated with drainage. Before this activity, the dressing was dry and intact. Which is the best initial action for the nurse to take?
    • A. 

      Splint the abdomen with a pillow and call the surgeon.

    • B. 

      Apply an abdominal binder.

    • C. 

      Reinforce the existing dressing with another dressing.

    • D. 

      Lift the dressing to assess the wound.

  • 10. 
    A nurse having difficulty setting up humidified oxygen at 40% per Venturi mask doesn't know how many liters of flow she should use. Which intervention should the nurse perform to ensure that the oxygen is properly administered?
    • A. 

      Consult with a respiratory therapist.

    • B. 

      Read the package directions.

    • C. 

      Ask a nursing assistant what to do.

    • D. 

      Use a conventional oxygen mask.

  • 11. 
    A nurse is preparing to help a client with weakness in his right leg move from his bed to a chair. Where should the nurse place the chair?
    • A. 

      Parallel to the bed on the right side

    • B. 

      Perpendicular to the bed on the right side

    • C. 

      Parallel to the bed on the left side

    • D. 

      Parallel to the bed on either side

  • 12. 
    A client complains of abdominal discomfort and nausea while receiving tube feedings. Which intervention is most appropriate for this problem?
    • A. 

      Give the feedings at room temperature.

    • B. 

      Stop the feedings and check for residual volume.

    • C. 

      Place the client in semi-Fowler's position while feeding.

    • D. 

      Change the feeding container daily.

  • 13. 
    According to Elizabeth Kübler-Ross, which stages of grief do a client or family member experience?
    • A. 

      Acceptance, depression, anger, bargaining, and denial

    • B. 

      Denial, anger, decreased interaction, depression, and mourning

    • C. 

      Acceptance, anger, denial, and bargaining

    • D. 

      Denial, anger, bargaining, depression, and acceptance

  • 14. 
    A nurse-manager works for a nonprofit health care corporation whose revenues have significantly exceeded annual expenses. The nurse-manager has been told to anticipate which action?
    • A. 

      Receiving a portion of the revenue to improve client services on the unit

    • B. 

      Identifying revenue as profit

    • C. 

      Dividing revenue among stockholders as dividends

    • D. 

      Reducing operating expenses to help the organization pay taxes on the revenue

  • 15. 
    A nurse is assessing a client for the risk of falls. The nurse should obtain:
    • A. 

      Gait and balance information.

    • B. 

      The facility's restraint policy.

    • C. 

      The family's psychosocial history.

    • D. 

      The client's dietary preferences.

  • 16. 
    The managers of the physical and occupational therapy neurologic departments tell a nurse-manager of an adult neurologic rehabilitation unit that they're concerned that clients have been arriving late for therapy. In response, the nursing staff of the rehabilitation unit complains that therapy schedules don't allow sufficient time for performing nursing interventions. Which action by the nurse-manager is the best solution to this problem?
    • A. 

      Meet with the managers of physical and occupational therapy and determine how to reschedule clients; then inform the nursing staff.

    • B. 

      Tell the nursing staff that nurses need to determine how to transport clients to therapy according to the schedules developed by the therapists.

    • C. 

      Meet with physical and occupational therapy managers to identify scheduling solutions.

    • D. 

      Ask several staff nurses to work with the therapy staff to help solve the scheduling problem and offer herself as a resource.

  • 17. 
    A client has a blood pressure of 152/86 mm Hg. The nurse should document the client's pulse pressure as:
    • A. 

      66 mm Hg.

    • B. 

      238 mm Hg.

    • C. 

      86 mm Hg.

    • D. 

      152 mm Hg.

  • 18. 
    A nurse is to collect a sputum specimen from a client. The best time to collect this specimen is:
    • A. 

      Early in the evening.

    • B. 

      Any time during the day.

    • C. 

      In the morning, as soon as the client awakens.

    • D. 

      Before bedtime.

  • 19. 
    A nurse-manager in the office of a group of surgeons has received complaints from discharged clients about inadequate instructions for performing home care. Knowing the importance of good, timely client education, the nurse-manager should take which steps?
    • A. 

      Inform the nurses who work in the facility that client education should be implemented as soon as the client is admitted to either the hospital or the outpatient surgical center.

    • B. 

      Review and revise the way client education is conducted in the surgeons' office.

    • C. 

      Because none of the clients suffered any serious damage, the nurse-manager can safely ignore their complaints.

    • D. 

      Work with the surgeons' staff and the nursing staff in the hospital and outpatient surgical center to evaluate current client education practices and make revisions as needed.

  • 20. 
    Which scenario complies with Health Insurance Portability and Accountability Act of 1996 (HIPAA) regulations?
    • A. 

      Two nurses in the cafeteria are discussing a client's condition.

    • B. 

      The health care team is discussing a client's care during a formal care conference.

    • C. 

      A nurse checks the computer for the laboratory results of a neighbor who has been admitted to another floor.

    • D. 

      A nurse talks with her spouse about a client's condition.

  • 21. 
    To follow standard precautions, the nurse should carry out which measure?
    • A. 

      Recapping needles after use

    • B. 

      Wearing a gown when bathing a client

    • C. 

      Wearing gloves when administering I.M. medication

    • D. 

      Wearing gloves for all client contact

  • 22. 
    A client with terminal breast cancer is being cared for by a long-time friend who's a physician. The client has identified her sister as the agent in her health care power of attorney. The client loses decision-making capacity, and the sister tells the nurse, "A different physician will be caring for my sister now. I've dismissed her friend." In response, the nurse should:
    • A. 

      Inform the sister that she doesn't have the authority to assign a different physician.

    • B. 

      Ask the dismissed physician if the client ever stated that she wanted a different physician.

    • C. 

      Abide by the wishes of the sister who holds the durable power of attorney.

    • D. 

      Politely ignore the sister's statement and continue to call the dismissed physician for orders.

  • 23. 
    A charge nurse tells a new nurse, "You really need to get your skills up to speed." The statement hurts and embarrasses the new nurse. How can she best handle the situation?
    • A. 

      Tell the charge nurse she feels hurt by her statement.

    • B. 

      Tell the charge nurse she needs to be more specific about what she means.

    • C. 

      Discuss her feelings with a coworker in order to vent.

    • D. 

      Ask for a private meeting to explore the charge nurse's concerns in detail.

  • 24. 
    In planning a presentation that advocates decreasing the client-to-nurse ratio from 8:1 to 6:1, a nurse should emphasize the effect on:
    • A. 

      Institutional resources.

    • B. 

      Standards of practice.

    • C. 

      Client-care quality.

    • D. 

      Nursing recruitment.

  • 25. 
    A client has a nursing diagnosis of Ineffective airway clearance related to poor coughing. When planning this client's care, the nurse should include which intervention?
    • A. 

      Increasing fluids to 2,500 ml/day

    • B. 

      Teaching the client how to deep-breathe and cough

    • C. 

      Improving airway clearance

    • D. 

      Suctioning the client every 2 hours

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