A nurse is caring for a woman who is in active labor and wants to use water immersion as a nonpharmacologic pain management method. What should the nurse do before assisting the woman into the tub? A Check the fetal heart rate and position.B Administer a dose of IV analgesia.C Obtain a written consent from […]

What is the function of inflammatory cytokines released during the early response to bacterial infection? A.Enhancing the phagocytosis of pathogens and disrupting the infection B.Attacking invading pathogens C.Initiating cell recruitment and local inflammation D.Secreting antibodies to neutralize pathogens . The Correct Answer and Explanation is: The correct answer is C. Initiating cell recruitment and local

How will the nurse assess for flank tenderness in a patient with suspected pyelonephritis? A.Percuss between the iliac crest and ribs at the midaxillary line. B.Push fingers upward into the two lowest intercostal spaces. C.Palpate along both sides of the lumbar vertebral column. D.Strike a flat hand covering the costovertebral angle (CVA). The Correct Answer

When palpating the child’s cervical lymph nodes, the nurse notes that they are tender, enlarged, and warm.The best explanation for this is.A.some form of cancer. B.local scalp infection common in children. C.infection or inflammation distal to the site. D.infection or inflammation close to the site. The Correct Answer and Explanation is: The correct answer is

The nurse is screening for hypertension at a local health fair.A community resident has a blood pressure reading of 138/80 mm Hg. What interventions should the nurse implement for this client? Select all that apply.A.Encourage the client to “keep doing whatever you are doing.”. B.Assess the client’s lifestyle and other risk factors for hypertension. C.Ask

A nurse is preparing to measure an infant’s vital signs. The nurse should use which of the following sites to assess a heart rate? A.Apex of the heart B.Carotid artery C.Brachial artery D.Radial artery The Correct Answer and Explanation is: The correct answer is A. Apex of the heart. In infants, the most reliable site

A client with asthma asks the nurse about the role of bronchial smooth muscle in asthma. How should the nurse explain it?A.“Bronchial smooth muscle has no involvement in asthma.” B.“Bronchial smooth muscle contracts and narrows the airways in asthma.” C.“Bronchial smooth muscle helps to clear mucus from the airways in asthma.” D.“Bronchial smooth muscle releases

Which activity should the nurse implement to decrease shearing force on a client’s stage Il pressure injury? A.pulling the client up from under the arms B.improving the client’s hydration C.lubricating the area with skin cream D.preventing the client from sliding in bed The Correct Answer and Explanation is: The correct answer is D. Preventing the

A nurse is caring for a client who is unconscious following a stroke. Which of the following nursing interventions is of highest priority? A.Perform passive range of motion on each extremity. B.Record the client’s intake and output. C.Suction saliva from the client’s mouth. D.Monitor the client’s electrolyte levels. The Correct Answer and Explanation is: The

A nurse is reinforcing teaching about torts with a newly licensed nurse. The nurse should include which of the following as an example of negligence? A.Restraining a client without a provider’s prescription B.Threatening to administer a medication a client has refused C.Failing to notify the provider after a medication error D.Documenting false information in a