Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is planning care for a client who has dehydration and hypotension. Which of the following actions should the nurse plan to take?
A. Instruct the client to perform the Valsalva manoeuvre.
B. Elevate the head of the client’s bed.
C. Encourage the client to use guided imagery to relax.
D. Increase the client’s fluid intake.
Dehydration can cause hypotension, so increasing fluid intake can help to restore fluid levels and improve blood pressure1. Mild dehydration can be treated with fluids and electrolytes, while moderate-to-severe dehydration may require treatment with intravenous fluids and electrolytes2.
This question is an excerpt from Nurse Dive's nursing test bank - NURS 100 fundamentals swami test 14.18.23 proctored exam. Take the full exam now
Full Explanation
Dehydration can cause hypotension, so increasing fluid intake can help to restore fluid levels and improve blood pressure1. Mild dehydration can be treated with fluids and electrolytes, while moderate-to-severe dehydration may require treatment with intravenous fluids and electrolytes2.
Similar Questions
A nurse is observing a newly licensed nurse set up a sterile field. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
A. Opens the first flap of the sterile package towards the nurse’s body.
B. Prepares the sterile field 2 hours before it is needed.
C. Inspects the sterile package for holes before opening.
When setting up a sterile field, it is important to inspect the sterile package for holes before opening it to ensure that the contents are still sterile1. The first flap of the package should be opened away from the body
D. Places the sterile field against a wall in the client’s room.
Full Explanation
When setting up a sterile field, it is important to inspect the sterile package for holes before opening it to ensure that the contents are still sterile1. The first flap of the package should be opened away from the body
A charge nurse is providing an in-service to a group of staff nurses about unexpected events. Which of the following should the nurse include in the teaching as an example of a sentinel event?
A. A client fell out of bed and fractured their hip.
A sentinel event is an unexpected event in a healthcare setting that causes or has the potential to cause death, serious physical or psychological injury, or loss of limb or function to a patient1. A client falling out of bed and fracturing their hip would be considered a sentinel event because it is an unexpected event that resulted in serious physical injury.
B. A client was prescribed a medication they were allergic to, but the prescription was canceled before the medication was given.
None
C. A client had bowel surgery and died from sepsis.
None
D. A client was almost given another client’s medication.
None
Full Explanation
A sentinel event is an unexpected event in a healthcare setting that causes or has the potential to cause death, serious physical or psychological injury, or loss of limb or function to a patient1. A client falling out of
bed and fracturing their hip would be considered a sentinel event because it is an unexpected event that resulted in serious physical injury.
A nurse is preparing a client for a procedure. Which of the following is an acceptable identifier to identify the client?
A. Telephone number
Acceptable identifiers for patients in healthcare include the patient’s full name, date of birth, medical record number, and telephone number12. These identifiers are used to reliably identify the individual as the person for whom the service or treatment is intended and to match the service or treatment to that individual.
B. home address
C. Room number
D. medical condition
Full Explanation
Acceptable identifiers for patients in healthcare include the patient’s full name, date of birth, medical record number, and telephone number12. These identifiers are used to reliably identify the individual as the person for whom the service or treatment is intended and to match the service or treatment to that individual.
