During the history, a 65-year old male client reports smoking two packs of cigarettes a day for more than 40 years. With this knowledge, what does the nurse inspect for during the examination of this client's mouth?
a. Cracks and erythema in the corners of the mouth
b. Slightly rough papillae on the dorsal surface of the tongue
c. Smooth or beefy, red-colored, edematous tongue
d. Painless, non-healing mouth ulcers
ANS: D
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When removing soiled protective equipment, the nurse is careful to follow a specific order of actions
List the following in the correct order to maintain infection control: Standard Text: Click and drag the options below to move them up or down. Choice 1. Remove any eyewear. Choice 2. Remove the mask. Choice 3. Wash hands and wrists. Choice 4. Remove the gown. Choice 5. Remove gloves.
A nurse at a health care facility is assisting a client during a prescribed passive therapeutic exercise. Passive exercise is most suitable for which of the following clients?
A) Clients who have undergone mastectomy surgery B) Clients who are paralyzed from a stroke or spinal injury C) Clients who have respiratory conditions D) Clients who have had prior cardiac-related symptoms
The nurse is in the mall and observes a client slump to the floor. The nurse assesses the client and notes no pulse. The nurse calls for assistance to others in the mall and requests which piece of equipment?
A) A blood pressure cuff B) A cell phone to call 911 C) An automatic external defibrillator D) A stethoscope
The charge nurse assigns a client requiring peritoneal dialysis (PD) to a new graduate licensed practical/vocational nurse. The new nurse informed the charge nurse that he was not comfortable with providing PD
The charge nurse stated that she would show him how to perform the PD, and then he could perform the task since she delegated the task. The nurse wants to avoid respondeat superior. Which action should the nurse do? A) Inform the charge nurse that he must abide by the state nurse practice act, which states he must first take classes on peritoneal dialysis, so he must decline. B) Perform the PD after the nurse teaches him how to perform the procedure to keep from getting in trouble for not obeying his superior. C) Provide the PD as the nurse delegates because the charge nurse becomes fully responsible for any task that is delegated. D) Perform the PD with charge nurse present, so the charge nurse charts and takes full responsibility for the care delivered.