Basic Physical care (Part 2)

114 Questions | Total Attempts: 118

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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. 
    The nurse-manager of a 20-bed coronary care unit is off duty when a staff nurse makes a serious medication error. The client, who received an overdose of medication, nearly dies. Which statement accurately reflects the nurse-manager's accountability?
    • A. 

      The nursing supervisor will notify the nurse-manager at home.

    • B. 

      The nurse-manager is off duty; therefore, she need not be notified.

    • C. 

      The nurse-manager should be informed when she returns to duty.

    • D. 

      The nursing supervisor decides to call the off-duty nurse-manager if time permits

  • 2. 
    • A. 

      Measuring and recording fluid intake and output

    • B. 

      Weighing the client daily at the same time each day

    • C. 

      Assessing the client's vital signs every 4 hours

    • D. 

      Checking the client's lungs for crackles during every shift

  • 3. 
    • A. 

      Team nursing

    • B. 

      Primary nursing

    • C. 

      Functional nursing

    • D. 

      Case management

  • 4. 
    • A. 

      Notify the physician that the wound may be dehiscing.

    • B. 

      Apply normal saline solution to keep the wound moist.

    • C. 

      Do nothing because this is granulation tissue.

    • D. 

      Prepare the client for debridement of the suture line.

  • 5. 
    • A. 

      Administer pain medication and delay client activity.

    • B. 

      Tell the client why lung expansion is important.

    • C. 

      Arrange a care schedule that includes rest periods.

    • D. 

      Teach the client how to use an incentive spirometer.

  • 6. 
    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

  • 7. 
    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

  • 8. 
    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

  • 9. 
    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.

  • 10. 
    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

  • 11. 
    A nurse who is preparing to boost a client up in bed instructs the client to use the overbed trapeze. Which risk factor for pressure ulcer development is the nurse reducing by instructing the client to move in this manner?
    • A. 

      Friction

    • B. 

      Impaired circulation

    • C. 

      Localized pressure

    • D. 

      Shearing forces

  • 12. 
    A nurse implements a teaching plan for a client who's scheduled for discharge. Which client behavior best demonstrates effective teaching?
    • A. 

      Exhibiting a positive change in behavior

    • B. 

      Verbally repeating the instruction

    • C. 

      Making statements indicating understanding

    • D. 

      Exhibiting nonverbal signs such as nodding the head to indicate "yes"

  • 13. 
    When preparing a client with a draining vertical incision for ambulation, where should a nurse apply the thickest portion of a dressing?
    • A. 

      At the top of the wound

    • B. 

      In the middle of the wound

    • C. 

      At the base of the wound

    • D. 

      Over the total wound

  • 14. 
    A nurse prepares to transfer a client from a bed to a chair. Which principle demonstrates safe body mechanics?
    • A. 

      The nurse stands an arm's length away from the client.

    • B. 

      The nurse uses a rocking motion while helping the client to stand.

    • C. 

      The nurse keeps her knees straight and stiff and bends at the waist.

    • D. 

      The nurse keeps her feet as close together as possible.

  • 15. 
    A client hospitalized with pneumonia has thick, tenacious secretions. Which intervention should the nurse include when planning this client's care?
    • A. 

      Turning the client every 2 hours

    • B. 

      Elevating the head of the bed 30 degrees

    • C. 

      Encouraging increased fluid intake

    • D. 

      Maintaining a cool room temperature

  • 16. 
    When preparing a client for a diagnostic study of the colon, the nurse teaches the client how to self-administer a prepackaged enema. Which statement by the client indicates effective teaching?
    • A. 

      I will administer the enema while sitting on the toilet.

    • B. 

      I will administer the enema while lying on my left side with my right knee flexed.

    • C. 

      I will administer the enema while lying on my right side with my left knee flexed.

    • D. 

      I will administer the enema while lying on my back with both knees flexed.

  • 17. 
    A client who suffered a stroke has a nursing diagnosis of Ineffective airway clearance. The goal of care for this client is to mobilize pulmonary secretions. Which intervention helps meet this goal?
    • A. 

      Repositioning the client every 2 hours

    • B. 

      Restricting fluids to 1,000 ml/24 hours

    • C. 

      Administering oxygen by nasal cannula as ordered

    • D. 

      Keeping the head of the bed at a 30-degree angle

  • 18. 
    A nurse must irrigate a gaping abdominal incision with sterile normal saline, using a piston syringe. How should she proceed?
    • A. 

      Irrigate continuously until the solution becomes clear.

    • B. 

      After the irrigation, moisten the area around the wound with normal saline.

    • C. 

      After the irrigation, apply a wet-to-damp dressing to the wound.

    • D. 

      Rapidly instill a stream of irrigating solution into the wound.

  • 19. 
    A nursing assistant is caring for a client with Clostridium difficile diarrhea and asks the charge nurse, "How can I keep from catching this from the client?" The nurse reminds the nursing assistant to wash her hands and to ensure that the client is placed:
    • A. 

      On protective isolation.

    • B. 

      On neutropenic precautions.

    • C. 

      In a negative-pressure room.

    • D. 

      On contact isolation.

  • 20. 
    • A. 

      Scheduling staff assignments for the next month

    • B. 

      Terminating a nursing assistant for insubordination

    • C. 

      Deciding on salary increases for nurses after they complete orientation

    • D. 

      Telling a staff nurse to initiate disciplinary action against one of her peers

  • 21. 
    • A. 

      Keep the area covered with the warm soaks.

    • B. 

      Remove the warm compress for at least 15 minutes after each 20-minute application.

    • C. 

      Alternate warm compresses with cold compresses.

    • D. 

      Question the order because heat increases edema.

  • 22. 
    • A. 

      Tell the primary nurse that the new nurse must finish orientation within 6 weeks because of a staffing shortage.

    • B. 

      Meet with the new nurse and the primary nurse and help set up an additional week of orientation.

    • C. 

      Fire the new nurse because the unit is short-staffed and needs nurses who can complete the orientation process in the normal length of time.

    • D. 

      Schedule a staff meeting to find out if there are deficiencies or flaws in the orientation process.

  • 23. 
    A nursing supervisor asks a pediatric nurse to work temporarily (float) in the intensive care unit (ICU) because there are few clients in the pediatric unit. The pediatric nurse has never worked in ICU and has no intensive care experience. Which action should this nurse take?
    • A. 

      Refuse to float to the ICU.

    • B. 

      Notify the nursing supervisor that she feels unqualified and untrained for the assignment.

    • C. 

      Report to the ICU and accept a total client assignment; ask the nurses for assistance when necessary.

    • D. 

      Report to the ICU, tell the ICU nurses she has never worked in the ICU, and let the nurses decide what tasks she can perform.

  • 24. 
    Which option is an example of a primary preventive measure?
    • A. 

      Participating in a cardiac rehabilitation program

    • B. 

      Having an annual physical examination

    • C. 

      Practicing monthly breast self-examination

    • D. 

      Avoiding overexposure to the sun

  • 25. 
    A client with heart failure must be monitored closely after starting diuretic therapy. The best indicator for the nurse to monitor is:
    • A. 

      Fluid intake and output.

    • B. 

      Urine specific gravity.

    • C. 

      Vital signs.

    • D. 

      Weight.