Author: Anonymous

The student nurse is assessing vital signs on a post-operative patient who underwent internal hemorrhoid surgery.  The patient is very lethargic. Which action by the student causes the instructor to intervene and reinforce education on proper vital signs assessment?

The nurse is to administer medication drawn up from an ampule.  Which needle and syringe is most appropriate for the nurse to select to draw up this medication safely?

What is the proper technique for administration of a tuberculin test?

What is the proper technique for administration of a tuberculin test?

The nurse is caring for a patient who suffered a gunshot wound to the abdomen.  The nurse notes the following vital signs: T 97.9 F (Temporal), P 126 and irregular, R 26 and shallow, BP 82/48, and O2 sat 86% on 12 L/min via a non-rebreathing mask.  The nurse is unable to assess pain due to the patient being unconscious. What is the nurse’s primary concern with this patient?

The nurse is educating a patient with recurrent urinary tract infections.  Which would the nurse include in the teaching?

The nurse is preparing to administer an ordered enema to a patient. Which intervention by the nurse is correct for this procedure?

A nurse is supervising a student nurse who is providing patient education. For which reaction to the patient’s return demonstration should the nurse intervene?

The nurse is providing ileostomy care and notes the following: pale stoma, collecting pouch filled with greenish liquid stool and large amount of flatus, and a reddened area under the adhesive of the appliance. Which assessment finding should the nurse report immediately? 

The home health nurse is caring for an elderly patient who states, “I am so afraid of getting sick. My spouse died after getting a cold.” Which suggestion will the nurse make to help the patient maintain good respiratory health?