A client is hospitalized for the first time, which of the following actions ensure the safety of the client?
Keeping the side rails up at all time ensures the safety of the client.
A client who is unconscious needs frequent mouth care. When performing a mouth care, the best position of a client is:
An unconscious client is best placed on his side when doing oral care to prevent aspiration.
It is best describe as a systematic, rational method of planning and providing nursing care for individual, families, group and community
The statement describes the Nursing Process. The Nursing Process is the essential core of practice for the registered nurse to deliver holistic, patient-focused care.
A walk-in client enters into the clinic with a chief complaint of abdominal pain and diarrhea. The nurse takes the client’s vital sign hereafter. What phrase of nursing process is being implemented here by the nurse?
Assessment is the first phase of the nursing process where a nurse collects information about the client.
Using the principles of standard precautions, the nurse would wear gloves in what nursing interventions?
Doing oral care requires the nurse to wear gloves.
Which of the following actions should the nurse take to use a wide base support when assisting a client to get up in a chair?
This is the proper way of supporting the client to get up in a chair that conforms to safety and proper body mechanics.
A nurse obtained a client’s pulse and found the rate to be above normal. The nurse document these findings as:
Tachycardia means rapid heart rate. Tachypnea refers to rapid respiratory rate. Hyperpyrexia means increase in temperature. Arrhythmia means irregular heart rate.
The nurse is preparing to take vital sign in an alert client admitted to the hospital with dehydration secondary to vomiting and diarrhea. What is the best method used to assess the client’s temperature?
Axilla is the most accessible body part in this situation.
Exchange of gases takes place in which of the following organ?
Gas exchange is the transport of oxygen from the lungs to the bloodstream and the expulsion of carbon dioxide from the bloodstream to the lungs. It transpires in the lungs between the alveoli and a network of tiny blood vessels called capillaries, which are located in the walls of the alveoli.
A client had oral surgery following a motor vehicle accident. The nurse assessing the client finds the skin flushed and warm. Which of the following would be the best method to take the client’s body temperature?
Taking the temperature via the axilla is the most appropriate route.
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