Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who has just returned from the PACU after a traditional cholecystectomy. In which of the following positions should the nurse place the client?
A. Semi-Fowler's
Choice A reason: This is correct because semi-Fowler's position is when the head of the bed is elevated to 30 to 45 degrees. This position can help promote drainage of the surgical site, prevent respiratory complications, and reduce abdominal pressure and pain.
B. Dorsal recumbent
Choice B reason: This is incorrect because dorsal recumbent position is when the client lies on their back with their legs extended and slightly apart. This position can increase abdominal pressure and pain, impair drainage of the surgical site, and increase the risk of respiratory complications.
C. Prone
Choice C reason: This is incorrect because prone position is when the client lies on their stomach with their head turned to one side. This position can cause pressure on the surgical site, impair drainage, and increase the risk of respiratory complications.
D. Supported Sims
Choice D reason: This is incorrect because supported Sims position is when the client lies on their left side with their right leg flexed and supported by a pillow. This position can cause pressure on the surgical site, impair drainage, and increase the risk of respiratory complications.
This question is an excerpt from Nurse Dive's nursing test bank - NY BSN Proctored Exam. Take the full exam now
Similar Questions
A nurse is reviewing the laboratory data of a client who has acute pancreatitis. The nurse should expect to find an elevation of which of the following values?
A. Calcium
Choice A reason: This is incorrect because calcium is not elevated in acute pancreatitis. In fact, calcium can be low due to fat necrosis and hypoparathyroidism that can occur in severe cases of pancreatitis.
B. Magnesium
Choice B reason: This is incorrect because magnesium is not elevated in acute pancreatitis. Magnesium can be low due to malabsorption, vomiting, or diuretic use that can occur in pancreatitis.
C. Amylase
Choice C reason: This is correct because amylase is elevated in acute pancreatitis. Amylase is an enzyme that helps digest carbohydrates in the small intestine. When the pancreas is inflamed, amylase can leak into the bloodstream and cause high levels.
D. RBC count
Choice D reason: This is incorrect because RBC count is not elevated in acute pancreatitis. RBC count can be low due to bleeding, hemolysis, or fluid overload that can occur in pancreatitis.
A nurse is completing discharge teaching with a client following arthroscopic knee surgery. Which of the following instructions should the nurse include in the teaching?
A. Begin active range of motion.
Choice A reason: This is incorrect because beginning active range of motion is not an instruction that the nurse should include in the teaching. Active range of motion can cause pain, swelling, and bleeding in the knee after arthroscopic surgery. The client should follow the provider's orders for when and how to start exercising the knee.
B. Keep the leg in a dependent position.
Choice B reason: This is incorrect because keeping the leg in a dependent position is not an instruction that the nurse should include in the teaching. A dependent position is when the leg is lower than the heart, which can increase blood flow and pressure in the knee. This can cause pain, swelling, and bleeding in the knee after arthroscopic surgery. The client should elevate the leg above the heart level as much as possible.
C. Apply ice to the affected area.
Choice C reason: This is correct because applying ice to the affected area is an instruction that the nurse should include in the teaching. Ice can help reduce pain, swelling, and inflammation in the knee after arthroscopic surgery. The client should apply ice for 15 to 20 minutes every two to four hours for the first two days.
D. Remain on bedrest for the first 24 hr.
Choice D reason: This is incorrect because remaining on bedrest for the first 24 hr is not an instruction that the nurse should include in the teaching. Bedrest can increase the risk of complications such as blood clots, infection, or stiffness in the knee after arthroscopic surgery. The client should ambulate as soon as possible, with or without assistive devices, as prescribed by the provider.
A nurse is teaching a client at high risk for osteoporosis about dietary measures she can take to increase her calcium level. Which of the following foods should the nurse advise the client to increase in her diet?
A. Potatoes
Choice A reason: This is incorrect because potatoes are not a good source of calcium. Potatoes contain about 10 mg of calcium per 100 g, which is very low compared to the recommended daily intake of 1000 to 1200 mg for adults.
B. Broccoli
Choice B reason: This is correct because broccoli is a good source of calcium. Broccoli contains about 47 mg of calcium per 100 g, which is higher than most other vegetables. Broccoli also contains other nutrients that can benefit bone health, such as vitamin C, vitamin K, and folate.
C. Cabbage
Choice C reason: This is incorrect because cabbage is not a good source of calcium. Cabbage contains about 40 mg of calcium per 100 g, which is lower than broccoli and still not enough to meet the daily requirement.
D. Carrots
Choice D reason: This is incorrect because carrots are not a good source of calcium. Carrots contain about 33 mg of calcium per 100 g, which is lower than cabbage and broccoli and far from the recommended amount.