To assess vibratory sensation, where should the nurse place the vibrating tuning fork?
1) On a tendon
2) On a bony prominence
3) On a muscle
4) On a dermatome
ANS: 2
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The nurse is assisting a multiparous woman to the bathroom for the first time since her delivery three hours ago. When the client stands up, blood runs down her legs and pools on the floor. The client turns pale and feels weak
The first action of the nurse is to: 1. Assist the client to empty her bladder. 2. Help the client back to bed to check her fundus. 3. Assess her blood pressure and pulse. 4. Begin an IV of lactated Ringer's solution.
Which nursing intervention should be included in the nursing plan of care for a patient with hepatic impairment and hypochloremia?
A) Administer ammonium chloride. B) Discontinue a loop diuretic and change to another class of drug. C) Infuse a hypotonic saline solution. D) Encourage intake of low-chloride foods.
The most widely used illicit drug in the United States is
1. Alcohol 2. Heroin 3. Cocaine 4. Marijuana
Mr. Xenobia's chronic cancer pain has recently increased and he asks the home health nurse what can be done. In relationship to his long-acting morphine, which of the following is an appropriate response by the nurse?
a. "if you take more morphine, it will not change your pain effect" b. "I'll call the physician and ask for an increased dose" c. "the amount you are taking now is all I can give you" d. "I'm worried if we increase your dose that you will stop breathing"