May 26, 2017
Can I be honest? I had an amazing experience last month.   It was one of those moments when you are filled with thousands of emotions ranging from happiness to sadness all at the same time.  Have you ever felt … Continued
August 22, 2016
So . . . I guess this episode is just about 8 minutes of a few thoughts on my mind.  Mostly though, I just want you all to know how much you really mean to us! isn’t mine . … Continued
May 13, 2016
Question: An 86-year-old male patient is transferred from the long-term care facility where he lives to the hospital for treatment after falling in the hallway. The staff tell the nurse that he normally is not a fall risk and has … Continued
May 12, 2016
Question: A pregnant client is in labor to deliver her baby. The mother is 39 weeks’ gestation and has had gestational diabetes during pregnancy. The mother has missed many prenatal appointments and admits that she has not checked her blood … Continued
May 11, 2016
Question: A 35-year-old client is undergoing a bronchoscopy procedure to evaluate a mass in his airway. Following the procedure, the nurse periodically assesses the patients cough and gag reflexes. Which best describes the rationale for this action? Answer: D.  To … Continued
May 10, 2016
Question: A nurse is caring for a 15-year-old girl who is recovering from an appendectomy. The nurse is trying to assess the patients level of pain. Which question from the nurse would be most appropriate for determining the intensity of … Continued
May 9, 2016
Question: A nurse working in the newborn nursery is caring for an infant who was born 3 hours ago. The infant’s axillary temperature is 97.0F and the nurse notes that his respiratory rate is 60/minute. Which action of the nurse … Continued
May 6, 2016
Question: An 80-year-old patient is being seen at the primary care clinic for routine care. The nurse performs a physical assessment on the patient. Based on the potential changes in the cardiac system associated with aging, which instructions would the … Continued
May 5, 2016
Question: A nurse needs to assess a patients back and listen to posterior lung sounds. In which position would it be most appropriate to place this patient? Answer: D.  High Fowler’s Rationale:  To assess the back and listen to posterior … Continued
May 4, 2016
Question: A 35-year-old pregnant patient tells the nurse that she has been feeling significant stress in her life since she found out she was pregnant. Select all of the appropriate measures the nurse can suggest as part of stress reduction … Continued
May 3, 2016
Question: A 67-year-old patient complains to the nurse that while he used to run long distances and participate in marathons, he no longer has the stamina to run very far. Select all of the following that are associated with changes … Continued
May 2, 2016
Question: A patient who is 16 weeks’ pregnant is at the healthcare provider’s office for a routine prenatal exam. The nurse is educating the patient about pregnancy-related body changes that will most likely occur in the next several months. Which … Continued
April 29, 2016
Question: A child is brought to the hospital for care after falling down some stairs and is in a state of neurogenic shock. The nurse performs an initial assessment on the patient. Which parameter best identifies whether the patient is … Continued
April 28, 2016
Question: A 61-year-old patient is being treated in the care clinic. The patient has been a school bus driver for 40 years and is asking the nurse about work-related injuries. Which symptoms would most likely develop in a person who … Continued
April 27, 2016
Question: A nurse is teaching a patient about self-care at home after he has experienced an anaphylactic reaction to shellfish. For future reference for the patient, after exposure to shellfish, in order to best manage an allergic reaction and prevent … Continued
April 26, 2016
Question: A 40-year-old patient is being seen for a health check-up and the nurse is providing information to him about prevention of coronary artery disease. Which best describes an appropriate goal for this patient that would be applied after teaching? … Continued
April 25, 2016
Question: A patient tells the nurse that she is afraid that she has sleep apnea. She says that she does not feel rested in the morning and that she snores. Her husband says that he notices that she seems to … Continued
April 22, 2016
Question: A 16-year-old patient needs to get up to ambulate after having knee surgery. A nurse assigns a nursing assistant to ambulate the patient. Which of the following should the nurse consider when delegating this task to the nursing assistant? … Continued
April 21, 2016
What are the Bills? HR 1602 – view the bill HERE S. 864 – view the bill HERE How Can You Get “Involved”? Listen to this podcast episode here with Senator O’Donnell It’s really as simple as: Google “who is … Continued
April 21, 2016
Question: A 37-year-old patient with a spinal tumor has been having a difficult time sleeping. Which best explains how a tumor can make sleep more difficult for a patient with cancer? Answer: B.  The tumor may place pressure on parts … Continued
April 20, 2016
Question: A nurse is preparing to irrigate a patients nasogastric tube. She has assessed the patients abdomen and determined that the tip of the tube is located in the stomach. After drawing up 30 mL of normal saline into a … Continued
April 19, 2016
Question: Which sleep disorder is associated with cataplexy? Answer: A.  Narcolepsy Rationale:  Cataplexy describes an involuntary loss of muscle function that is temporary. Cataplexy is most commonly associated with narcolepsy, which involves increased sleepiness during the daytime. A patient with … Continued
April 18, 2016
Question: A nurse is caring for a patient who is visually impaired. Which of the following interventions is most appropriate when working with this client? Answer: C. Explain procedures in a step-by-step manner Rationale:  When working with a patient who … Continued
April 15, 2016
Question: A nurse is caring for a patient who is recovering from surgery and is in pain at the incision site. The nurse has administered some medications to help control the patients pain, but she holds off from administering more … Continued
April 14, 2016
Question: A nurse is teaching a client who has trouble with mobility about how best to decrease the risk of a blood clot. Which of the following statements made by the nurse is correct? Answer: A.  “Do not cross your … Continued
April 13, 2016
Question: A patient has come to the healthcare clinic complaining of pain in his left arm after an injury. Which describes the characteristics of nociceptive pain? Select all that apply. Answer: A.  Nociceptive pain may be localized to the area … Continued
April 12, 2016
Question: A patient with chronic pain as a result of multiple sclerosis has requested music therapy for help with pain management. Which of the following describes music therapy for pain control? Select all that apply. Answer: A. Music therapy is an … Continued
April 11, 2016
Question: The family member of a patient with lung cancer has asked the nurse about palliative care for the patient. Which describes when palliative care is appropriate for a patient? Select all that apply. Answer: A.  When the patient has … Continued
April 8, 2016
Question: A patient asks the nurse about spinal cord stimulation as a method of pain control. Which of the following describes an element of this type of pain management? Select all that apply. Answer: A. The patient has wires inserted into … Continued
April 7, 2016
Question: A patient who is dying of cancer tells the nurse that he is in extreme pain. Which of the following principles should the nurse adhere to when managing pain in a dying patient? Select all that apply. Answer: A. … Continued
April 6, 2016
Question: A nurse is assessing a patient who is being admitted to the long-term care facility where she works. The nurse is utilizing the Katz Index of Independence in Activities of Daily Living. Which activities would the nurse assess for … Continued
April 5, 2016
Question: A nurse is caring for a patient who is recovering from a stroke and who has difficulties swallowing. The patient must have all liquids thickened to a nectar consistency. Which of the following is a true statement regarding this … Continued
April 4, 2016
Question: A patient who is recovering from surgery has been ordered to have a full liquid diet. Which foods would the nurse provide for this patient that would be consistent with this diet? Select all that apply. Answer: A.  Ice … Continued
April 1, 2016
Question: A nurse is using a TENS device to help a patient with his low back pain. Which of the following considerations should the nurse keep in mind when using this type of device? Select all that apply. Answer: A. The … Continued
March 31, 2016
Question: A nurse must position the patient prone after his diagnosis of acute respiratory distress syndrome (ARDS). Which of the following is a benefit of using this position? Select all that apply. Answer: A. Decreased atelectasis C. Mobilization of secretions D. Decreased … Continued
March 30, 2016
Question: A nurse is working with a client who has been confined to his bed for the past week because of illness. While turning this patient, the nurse notes a stage II pressure ulcer on his sacrum. Which action is … Continued
March 29, 2016
Question: A nurse is caring for a patient who has been immobile for the past three weeks while recovering from surgery. The patient has been deteriorating in health because of his lack of activity. Based on the nurse’s knowledge of … Continued
March 28, 2016
Question: A 76-year-old patient has urinary incontinence diagnosed because of instability of the detrusor muscle. Which of the following describes a form of management of this type of incontinence? Select all that apply. Answer: A. Anticholinergic drugs, such as Ditropan … Continued
March 25, 2016
Question: A patient with Alzheimer’s disease has had difficulties eating and is not getting enough nutrients in his diet. The patients daughter asks the nurse if there is anything that can be done to improve his nutrition intake. Which recommendation … Continued
March 24, 2016
Question: A patient with heart failure has been ordered to reduce her sodium intake in order to better control her condition. Which best explains why reduction in sodium intake will affect symptoms of heart failure? Answer: D.  Too much sodium … Continued
March 23, 2016
Question: A 41-year-old patient is being seen at the primary care clinic for a physical exam. The patient is overweight and wants to talk to the nurse about losing weight. Choose the alternative that best explains the calculation of BMI. … Continued
March 22, 2016
Question: A physician has ordered calorie counts for a patient who needs to lose weight. Which best describes how the nurse would instruct the client in this process? Answer: B. “This method teaches you common amounts of calories in foods … Continued
March 21, 2016
Question:  A nurse is caring for a client who is at high risk of dehydration. Which parameter would the nurse use for assessment if this patient were to become dehydrated? Answer:  A. Orthostatic hypotension Rationale:  A patient who is dehydrated … Continued
March 18, 2016
Question: A patient with lung disease has decided to receive palliative care at home. The patient does not want his mother to be nearby while he is recovering, even though his wife has asked him to reconsider. Which response from … Continued
March 17, 2016
Question: A palliative care nurse is counseling a patient who is suffering from cancer. Which statement by the patient indicates that more education is needed about the treatment he receives through palliative care? Answer: D. “I can receive palliative care … Continued
March 16, 2016
Question: A nurse who is caring for a patient with chronic pain and recommends the patient undergoes relaxation therapy as part of pain management. How would relaxation therapy work in this situation? Answer: C.  Relaxation decreases anxiety, which can cause … Continued
March 15, 2016
Question: A nurse is preparing to apply thigh-high anti-embolism stockings to a patient with a history of DVT. The nurse notes that the patients legs have different measurements. Which response from the nurse is appropriate? Answer: B.  Choose antiembolism stockings … Continued
March 14, 2016
Question: A patient has suffered a bruise on her elbow from being assisted in bed for repositioning. Which best describes how the nurse can prevent this injury from becoming a point of skin breakdown? Answer: A. Encourage the patient to … Continued
March 11, 2016
Question: A nurse is caring for a patient with reduced mobility following hip surgery. Which best describes how the nurse would intervene to prevent skin breakdown from immobility? Answer: A.  Use padding and cushions under the heels and other bony … Continued
March 10, 2016
Question: A patient with stress incontinence is undergoing treatment through rehabilitation of the pelvic floor muscles. Which statement by the patient suggests that he is responding to the treatment? Answer: C.  “I have not leaked urine the last several times … Continued
March 8, 2016
Answer: B. Writing down pertinent information for the patient to read Rationale:  A patient with hearing loss and who has no assistive devices for hearing needs teaching through a method that promotes another one of the senses, such as through … Continued
March 7, 2016
Answer: D.  The level of the amputation Rationale:  Various factors go into determining the most appropriate type of prosthetic appliance to use for a patient who has had a limb amputation. The type of prosthetic may be determined by factors … Continued
March 4, 2016
Question: A nurse is caring for a patient who is recovering from a stroke. The nurse arranges for a swallowing screening to be performed on this patient. Which best describes the purpose of this test? Answer: B. To assess the … Continued
March 3, 2016
Answer: D. Achieve and maintain a healthy weight Rationale:  A patient with COPD suffers from a chronic disease that can progressively worsen if he does not take care of his health. As part of health education, the nurse must teach … Continued
March 2, 2016
Answer: C. Obesity Rationale:  Dyspnea, also known as breathlessness, is a state in which a person is unable to get enough air. Dyspnea may be acute, such as after an injury affecting the lungs or a panic attack, or it … Continued
March 1, 2016
Answer: A.  Tobacco use C.  Exposure to certain pesticides Rationale:  Cancer of the pancreas is a life-threatening condition that often has a poor prognosis. Risk factors for this type of cancer include such factors as tobacco use in the patient … Continued
February 29, 2016
Answer: A.  Assess the interactions between the parents and the child C.  Respond to the child consistently with nurturance D.  Provide positive feedback when the parents nurture the child Rationale:  Attachment is something that develops between parents and children from … Continued
February 26, 2016
Answer: C.  Increased confidence in the ability to perform tasks D.  The ability to separate from parents for a time E.  Learning to master skills Rationale:  An 8-year-old child has different developmental tasks when compared to a child who is … Continued
February 25, 2016
Answer: C.  “The nurse can make a copy of my medical record to send it to my friend.” Rationale:  Privacy and confidentiality are important aspects of maintaining patient security while he receives healthcare services. The nurse must educate the patient … Continued
February 23, 2016
Answer: C. The patient has no plans to quit smoking Rationale:  The phases of change, such as when a person wants to make a change in lifestyle habits, go through a series that starts with no desire or thought to … Continued
February 22, 2016
Answer: C.  Inspection, auscultation, percussion, palpation Rationale:  When assessing any other part of the body, the nurse would normally perform the methods of assessment in the order of inspection, palpation, percussion, and then auscultation. However, when assessing the abdomen, the … Continued
February 19, 2016
Answer: D.  The pads of the fingers Rationale:  When assessing a patient through palpation, the nurse may use different parts of the hand to find differing signs related to the patients condition. The pads of the fingers are best used … Continued
February 18, 2016
Answer: B.  Drink fluids starting several hours before exercise begins Rationale:  A person who exercises a great amount, such as with a student athlete, may be at risk of dehydration and electrolyte imbalance from water loss through sweat and respiration. … Continued
February 17, 2016
Answer: C.  There are high expectations of each family member E.  Punishment may involve withdrawal of approval Rationale:  A nurse who works with families may encounter various parenting styles. The authoritarian parenting style is one that is strict and where … Continued
February 16, 2016
Answer: A.  There may be step-siblings in the family who do not share a biologic parent B.  The parents come together after a previous divorce or death of a spouse E.  The parents may add another child who becomes a … Continued
February 14, 2016
Answer: C. Dysphagia Rationale:  Amyotrophic lateral sclerosis (ALS) is a progressive neurodegenerative disease that causes a decline in respiratory function, including shortness of breath and an inability to cough. The patient is also at a nutritional risk because of muscle … Continued
February 12, 2016
Answer: C.  “This test checks how much sugar is coating the hemoglobin in your red blood cells; it can tell us your blood sugar levels for the past two months.” Rationale:  The hemoglobin A1C test, also called the glycosylated hemoglobin … Continued
February 11, 2016
Answer: A. mitral valve prolapse. Rationale:  When auscultating heart sounds, the nurse may hear a variety of different sounds; some are normal parts of the heart’s anatomy, while others indicate an abnormality. A systolic click is a high-pitched sound that is … Continued
February 10, 2016
Answer: A. The patient will be able to dress himself appropriately B. The patient will demonstrate how to use adaptive equipment effectively C. The patient will be able to cope with having someone help with dressing tasks Rationale:  A patient … Continued
February 9, 2016
Answer: A.  Stated doubts about an ability to survive alone B. Expressed feelings of abandonment or loneliness C. Feelings of uselessness Rationale:  A patient who suffers from social isolation may feel lonely, he may have few friends, or he may suffer from … Continued
February 8, 2016
Answer: D. Supine with the legs elevated Rationale:  The most appropriate position for the patient in shock is to have him lie supine with the legs elevated. This position promotes venous return from the lower extremities so that blood can … Continued
February 5, 2016
Answer: C.  Percutaneous electrical nerve stimulation Rationale:  Diabetic peripheral neuropathy can cause severe pain and nerve dysfunction in the extremities. The patient with this condition may need pain management methods, which could be through medications or through non-pharmacological methods, such … Continued
February 4, 2016
Answer: C. The patient will more likely desire change after connecting with another person Rationale:  Change is necessary when a patient is exhibiting behaviors that are harmful to himself or others. Change can be implemented in many ways, but personal … Continued
February 3, 2016
Sorry to interrupt your regular programming ; ) But I just wanted to make you aware of our other Nursing School/Nursing Podcast Shows: NRSNG Show: Interviews, motivation, A&P MedMaster Show: Nursing Pharmacology NCLEX® Question of the Day: Show NCLEX Question … Continued
February 1, 2016
Answer: B. Art therapy C. Watching a movie D. Blowing bubbles Rationale:  A preschool-age child is at a different developmental age when compared to an infant or a school-age child. A child who is in preschool does not understand some … Continued
January 29, 2016
Answer: B. Problems within parents’ marriage/relationship C. Speech difficulties D. Boredom   Rationale:  It is normal and common for a 3-year-old child to have tantrums. Children of this age may have difficulty communicating, and tantrums are a method of expressing … Continued
January 28, 2016
Answer: B.   benign tumors on the pituitary that cause excess secretion of growth hormone. Rationale:  A patient with acromegaly produces too much growth hormone as a result of small tumors that develop on the pituitary gland. The condition causes … Continued
January 27, 2016
Answer: D. Decreased cardiac contractility Rationale:  A patient with a cardiac condition is at risk of developing cardiogenic shock when the heart has been damaged enough that it is unable to effectively pump blood to perfuse vital organs. The patient … Continued
January 25, 2016
Answer: A.  The patient has a Glasgow Coma Score of 8 Rationale:  A spinal cord injury produces paresthesia below the level of the injury; paraplegia indicates an injury in which the patient cannot move the lower extremities, while quadriplegia is … Continued
January 22, 2016
Answer: C.  Loss of muscle control Rationale:  A patient who has suffered a traumatic brain injury is at high risk of developing sleep problems. Narcolepsy is a condition in which a person experiences excessive daytime sleepiness. He may also develop … Continued
January 21, 2016
Answer: A.  Eating breakfast Rationale:  Myasthenia gravis is an autoimmune disorder characterized by weakness of skeletal muscles and fatigue with exertion. The patient would most likely have difficulties with performing activities of daily living that require exertion or use of … Continued
January 20, 2016
Question: A 78-year-old patient with Huntington’s disease has developed contractures from muscle atrophy. The nurse is reviewing his information after he has been admitted to the long-term care facility. Which best describes an appropriate outcome for this patient? Answer: C. … Continued
January 19, 2016
Question: A nurse is caring for an 80-year-old client who is in rehabilitation after having a stroke. The nurse is teaching the client about how to use a nosey cup. Which of the following best describes this device? Answer: B. … Continued
January 18, 2016
Question: A nurse is working with a family whose child was born with developmental dislocation of the hip. The physician has applied a spica cast to the child. Which statement from the nurse best describes this type of cast to … Continued
January 15, 2016
Question: A child was injured in an accident and has become a paraplegic. The child must use crutches on a permanent basis, most likely for the rest of his life. Which type of crutches would most commonly be used in … Continued
January 14, 2016
Question: A nurse has given a patient with joint stiffness and limited range of motion a nursing diagnosis of Impaired Physical Mobility. Which nursing intervention would be most appropriate when caring for this patient? Answer: A. Screen for signs of … Continued
January 13, 2016
Question: Which of the following descriptions best defines general adaptation syndrome? Answer: C. The body’s response to stress over both short- and long-term periods Rationale: General adaptation syndrome is a stress response in which the body modifies its reaction to stress. … Continued
January 12, 2016
Question: A patient who has been suffering from severe diarrhea has developed hypokalemia and cardiac arrhythmias as a result. Which of the following treatments would most likely be ordered for this patient to correct the situation? Answer: A. IV administration of … Continued
January 11, 2016
Question: A 36-year-old patient has been diagnosed with scleroderma and has breathing difficulties, including wheezing and dry cough. Which of the following skin changes would the nurse also expect to see upon assessment of this patient? Answer: D.  Stiff, tight … Continued
December 26, 2014
4. In the case of a patient becoming incompetent to make his own decisions, a durable power of attorney authorizes: a. another person to manage the patient’s financial matters. b. instructions for what medical treatment the patient wants. c. another … Continued
December 23, 2014
3. A patient is admitted to the hospital for hip replacement surgery and the nurse notes in the documentation that the patient has a living will. In addition to placing a copy of the document on the patient’s chart, the … Continued
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