Exam 29: Basic Procedures

Before actually counting a client's respirations,the nurse should FIRST determine which of the following?

An adult client is to have a large-volume cleansing enema.The nurse is aware that the MOST appropriate temperature of the solution to be administered should be:

A client is becoming increasingly restless,and the nurse is concerned that the client may fall out of bed.After obtaining a health care provider's order for a chest restraint,the nurse applies the restraint to the client.What MUST the nurse document concerning this situation?

A nurse is preparing to take a client's apical pulse.The nurse places the stethoscope at the point of maximal impulse (PMI)at the:

When a nurse is pushing or pulling a client,which of these positions should the nurse assume?

According to Centers for Disease Control and Prevention (CDC)protocol,which statement about hand hygiene is TRUE?

When performing the Heimlich maneuver on an adult client who is choking,the rescuer should stand behind the client,wrap the arms around the client's waist,and then:

When a nurse is teaching assistive personnel to perform routine catheter care,they should be instructed to do which of the following?

The nurse is taking a client's tympanic temperature.Which of the following is the MOST appropriate position for the client to be placed?

Which of the essential elements of hand hygiene is MOST important?

A nurse has completed morning care for a client in strict isolation,including taking the client's vital signs.Which of these approaches should the nurse use in recording vital signs and other assessment data?

A nurse maintains constant release of pressure in the blood pressure cuff to identify the five phases of the Korotkoff sounds.At which of these points is the systolic reading obtained?

A nurse is to obtain a urine specimen for culture and sensitivity from a client who has an indwelling urinary catheter connected to a closed drainage system.The specimen should be collected from:

Which of the following is one of the MOST important rules of body mechanics for lifting?

When a male client is unable to shave himself,the nurse should prepare to shave the client by first:

When a nurse is making an occupied bed,the client should be placed in which position as the nurse begins the procedure?

To move a client from a supine to a side-lying position,which of these actions should the nurse take first?

What does assessment of a client's pulse measure?

When a nurse is engaged in hand hygiene,in which of these positions should the hands be placed?

A client is to be discharged home.Which of these aspects is MOST important for the nurse to review with the client before discharge?