The primary purpose of the nurse wearing exam gloves during a physical assessment of a client is to:
a. increase tactile stimulation for palpation.
b. decrease the amount of time spent handwashing.
c. reduce the risk of transmission of microorganisms.
d. make the client feel more secure.
ANS: C
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The nurse caring for a client recovering from a suicide attempt. Which client statement indicates that the plan of care was effective to eliminate the risk of future suicide attempts?
A) "I am not looking forward to going home with my parents." B) "I now know that threatening suicide will help me get what I want from my parents." C) "Even though I failed this time, I lived to think about it again." D) "I am looking forward to going to school and seeing my friends."
An 88-year-old client has glomerulonephritis, is quite edematous, and has an order for large doses of diuretics. Before administering the first dose, the most appropriate action by the nurse would be to
a. call the physician to clarify the order. b. educate the client as to the drug's effects. c. have the unlicensed assistive personnel take a set of vital signs. d. plan to administer the diuretics evenly spaced throughout the day.
The nurse is caring for a client with a history of heart failure and chronic gastritis. The client tells the nurse about taking 2 teaspoons of sodium bicarbonate every night before going to bed to prevent heartburn
Which is the nurse's best response? a. "You should let the doctor know right away if you develop diarrhea." b. "I will let your doctor know so a safer antacid can be prescribed for you." c. "Do not take that with milk, because the combination can cause kidney stones." d. "Make sure that you mix the sodium bicarbonate with at least 8 ounces of water."
The nurse wants to determine if a patient is experiencing carpel tunnel syndrome. Which test should the nurse use to make this assessment?
1. bulge sign 2. ballottement 3. Phalen's test 4. Thomas test