Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is caring for a client who is having palliative surgery. Which of the following should be included in the nurse's instruction?
A. "You will be more comfortable after you have surgery."
Palliative surgery focuses on relieving symptoms and improving comfort rather than curing the underlying disease. Therefore, informing the client that they will be more comfortable after surgery is an appropriate instruction.
B. "The surgery will give your provider more information about the disease."
Palliative surgery may not necessarily provide more information about the disease.
C. "The surgery will restore function."
Palliative surgery does not aim to restore function in the same way as corrective or restorative surgery.
D. "Your disease will hopefully be cured after the surgery."
Palliative surgery is not performed with the expectation of curing the disease; its goal is to enhance the quality of life by alleviating symptoms.
This question is an excerpt from Nurse Dive's nursing test bank - Ati Rn Fundamentals Proctored Exam 6. Take the full exam now
Full Explanation
A. Palliative surgery focuses on relieving symptoms and improving comfort rather than curing the underlying disease. Therefore, informing the client that they will be more comfortable after surgery is an appropriate instruction.
B. Palliative surgery may not necessarily provide more information about the disease.
C. Palliative surgery does not aim to restore function in the same way as corrective or restorative surgery.
D. Palliative surgery is not performed with the expectation of curing the disease; its goal is to enhance the quality of life by alleviating symptoms.
Similar Questions
A charge nurse is verifying a client's prescription which another nurse transcribed from a telephone order. Which of the following orders should the nurse recognize as including unaccepted abbreviations when documenting care?
A. Ciprofloxacin 200 mg IV q12h x 7 days
Ciprofloxacin 200 mg IV q12h x 7 days is a clear and acceptable prescription.
B. Dx pyelonephritis
"Dx" is an unaccepted abbreviation; it is not appropriate for documentation and may lead to confusion.
C. Hourly 180
"Hourly 180" is unclear and may need clarification; it could refer to an hourly measurement or a specific order, but it lacks clarity.
D. Acetaminophen 1000 mg PO QD
Acetaminophen 1000 mg PO QD is a clear and acceptable prescription.
Full Explanation
A. Ciprofloxacin 200 mg IV q12h x 7 days is a clear and acceptable prescription.
B. "Dx" is an unaccepted abbreviation; it is not appropriate for documentation and may lead to confusion.
C. "Hourly 180" is unclear and may need clarification; it could refer to an hourly measurement or a specific order, but it lacks clarity.
D. Acetaminophen 1000 mg PO QD is a clear and acceptable prescription.
A nurse is preparing to administer a tap water enema to a client. Which of the following actions should the nurse take?
A. Don sterile gloves prior to the procedure.
Sterile gloves are not necessary for a tap water enema; clean, non-sterile gloves are sufficient.
B. Lubricate 1 inch of the tip of the rectal tube prior to insertion.
Lubricating the tip of the rectal tube is appropriate to ease insertion and enhance client comfort.
C. Place the client into a left Sims' position.
Placing the client into a left Sims' position facilitates optimal administration of a tap water enema.
D. Raise the enema bag if the client experiences cramping.
Lowering, not raising, the enema bag will allow for a slower flow and may reduce cramping.
Full Explanation
A. Sterile gloves are not necessary for a tap water enema; clean, non-sterile gloves are sufficient.
B. Lubricating the tip of the rectal tube is appropriate to ease insertion and enhance client comfort.
C. Placing the client into a left Sims' position facilitates optimal administration of a tap water enema.
D. Lowering, not raising, the enema bag will allow for a slower flow and may reduce cramping.
A nurse is delegating obtaining the collection of a client's oral temperature to an assistive personnel (AP). The nurse notes in the documentation that the AP obtained the client's axillary temperature. Which of the following rights of delegation should have prevented this situation from occurring?
A. Right task
The right task involves ensuring that the delegated task is appropriate for delegation. In this case, obtaining an oral temperature should have been the correct task; however, the APperformed the axillary temperature, indicating a deviation from the right task.
B. Right communication
Right communication involves clear and effective communication between the nurse and the assistive personnel but is not directly related to the task performed.
C. Right person
Right person involves ensuring that the task is delegated to a competent and qualifiedindividual. The issue in this scenario is with the task itself, not the competency of the individual.
D. Right circumstance
Right circumstance involves ensuring that the conditions are appropriate for delegation. While the circumstance is important, the primary concern in this case is the mismatch between the task and the method of temperature measurement.
Full Explanation
A. The right task involves ensuring that the delegated task is appropriate for delegation. In this case, obtaining an oral temperature should have been the correct task; however, the AP
performed the axillary temperature, indicating a deviation from the right task.
B. Right communication involves clear and effective communication between the nurse and the assistive personnel but is not directly related to the task performed.
C. Right person involves ensuring that the task is delegated to a competent and qualified
individual. The issue in this scenario is with the task itself, not the competency of the individual.
D. Right circumstance involves ensuring that the conditions are appropriate for delegation. While the circumstance is important, the primary concern in this case is the mismatch between the task and the method of temperature measurement.