The nurse is preparing to perform an ear assessment. Which speculum for the otoscope should the nurse select?
1) The largest and longest
2) The largest and shortest
3) The smallest and longest
4) The smallest and shortest
ANS: 2
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Which instruction has priority when teaching a patient taking clozapine (Clozaril)?
a. "Avoid unprotected sex." b. "Report sore throat and fever immediately." c. "Reduce foods high in polyunsaturated fats." d. "Use over-the-counter preparations for rashes."
The nursing student is preparing to administer an intramuscular (IM) injection to her patient. She states to her instructor,
"I'm going to administer this medication in my patient's buttocks at the dorsogluteal site." What is the most appropriate response by the instructor? a. "Okay. Explain the procedure to me and you are good to go." b. "This may not be the best site owing to proximity of the sciatic nerve." c. "I agree, this is a good site for thin patients such as this one." d. "Okay, but first be sure to locate the bony landmarks carefully."
A person who is ill may experience which of the following?
A. Increased need for rest and sleep B. Difficulty sleeping, due to pain or anxiety C. Sensitivity to sounds, lights, and activity in the nursing unit D. All of these
An older patient lives at home alone. Which assessment data would indicate modifiable risk factors for a hip fracture? Select all that apply.
A. Report of sleeping with two pillows B. Medications: atenolol 50 mg daily, lisinopril 10 mg daily, Xanax 0.25 mg daily, Seroquel 50 mg daily C. Complaints of nonproductive dry cough D. Problems with balance E. Complaints of lower extremity weakness