Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse in a provider's office is caring for a client who has total vision loss and is the handler of a service dog.
Which of the following actions should the nurse take to show consideration for the client and the service animal?
A. Pet the dog briefly to demonstrate acceptance.
Choice A is wrong because petting the dog briefly to demonstrate acceptance could distract the dog from its duties.
B. Consult the client before approaching the dog.
The nurse should consult the client before approaching the dog. Service dogs are working animals and it is important to respect their role and the handler’s wishes.
C. Offer the dog a bowl of water to demonstrate caring.
Choice C is wrong because offering the dog a bowl of water without consulting the client first could interfere with the dog’s training or schedule.
D. Command the dog to sit while talking with the client.
Choice D is wrong because commanding the dog to sit while talking with the client could confuse the dog and disrupt its training.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Adult Medical Surgical 2019 Proctored Exam. Take the full exam now
Full Explanation
The nurse should consult the client before approaching the dog.
Service dogs are working animals and it is important to respect their role and the handler’s wishes.
Choice A is wrong because petting the dog briefly to demonstrate acceptance could distract the dog from its duties.
Choice C is wrong because offering the dog a bowl of water without consulting the client first could interfere with the dog’s training or schedule.
Choice D is wrong because commanding the dog to sit while talking with the client could confuse the dog and disrupt its training.
Similar Questions
A nurse is planning care for a client who has upper gastrointestinal bleeding due to a peptic ulcer.
Which of the following actions should the nurse plan to take?
A. Ensure that the client has a 22-gauge IV line in place.
Choice A is wrong because a 22-gauge IV line may be too small for rapid fluid resuscitation.
B. Provide ketorolac for abdominal pain.
Choice B is wrong because ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of gastrointestinal bleeding.
C. Administer nitroprusside IV based on the client's weight.
Choice C is wrong because nitroprusside is a vasodilator used to treat hypertensive emergencies and is not typically used for upper gastrointestinal bleeding.
D. Insert a large-bore nasogastric tube.
The nurse should plan to insert a large-bore nasogastric tube for a client who has upper gastrointestinal bleeding due to a peptic ulcer. This allows for gastric lavage and can help diagnose the source of bleeding.
Full Explanation
The nurse should plan to insert a large-bore nasogastric tube for a client who has upper gastrointestinal bleeding due to a peptic ulcer.
This allows for gastric lavage and can help diagnose the source of bleeding.
Choice A is wrong because a 22-gauge IV line may be too small for rapid fluid resuscitation.
Choice B is wrong because ketorolac is a nonsteroidal anti-inflammatory drug (NSAID) that can increase the risk of gastrointestinal bleeding.
Choice C is wrong because nitroprusside is a vasodilator used to treat hypertensive emergencies and is not typically used for upper gastrointestinal bleeding.
A nurse is planning care for a client who has left-sided hemiplegia following a stroke.
Which of the following actions should the nurse include in the plan of care?
A. Provide the client with a short-handled reacher.
The nurse should provide the client with a short-handled teacher. This can help the client to reach and grasp objects without having to overextend or strain their unaffected arm.
B. Place a plate guard on the client's meal tray.
The nurse should place a plate guard on the client’s meal tray. This can help prevent food from spilling off the plate and make it easier for the client to eat with one hand.
C. Remind the client to use a cane on his left side while ambulating.
Choice C is wrong because reminding the client to use a cane on his left side while ambulating could be unsafe as the client’s left side is affected by hemiplegia.
D. Position the bedside table on the client's left side.
Choice D is wrong because positioning the bedside table on the client’s left side could make it difficult for the client to reach items on the table.
Full Explanation
The nurse should provide the client with a short-handled teacher.
This can help the client to reach and grasp objects without having to overextend or strain their unaffected arm.
Choice B is also correct.
The nurse should place a plate guard on the client’s meal tray.
This can help prevent food from spilling off the plate and make it easier for the client to eat with one hand.
Choice C is wrong because reminding the client to use a cane on his left side while ambulating could be unsafe as the client’s left side is affected by hemiplegia.
Choice D is wrong because positioning the bedside table on the client’s left side could make it difficult for the client to reach items on the table.
A nurse is planning the discharge of a client who had an ischemic stroke.
The nurse should ensure that the client is discharged with which of the following types of pharmacologic therapy?
A. Antithrombotic.
The nurse should ensure that the client is discharged with antithrombotic pharmacologic therapy. Antithrombotic medications help prevent blood clots from forming and can reduce the risk of another ischemic stroke.
B. Diuretic.
Choice B is wrong because diuretics are used to treat fluid retention and high blood pressure and are not typically used for stroke prevention.
C. Anticonvulsant.
Choice C is wrong because anticonvulsants are used to prevent seizures and are not typically used for stroke prevention.
D. Opioid analgesic.
Choice D is wrong because opioid analgesics are used to treat pain and are not typically used for stroke prevention.
Full Explanation
The nurse should ensure that the client is discharged with antithrombotic pharmacologic therapy.
Antithrombotic medications help prevent blood clots from forming and can reduce the risk of another ischemic stroke.
Choice B is wrong because diuretics are used to treat fluid retention and high blood pressure and are not typically used for stroke prevention.
Choice C is wrong because anticonvulsants are used to prevent seizures and are not typically used for stroke prevention.
Choice D is wrong because opioid analgesics are used to treat pain and are not typically used for stroke prevention.