Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse on an oncology unit is caring for a client who is receiving internal radiation therapy.
Which of the following actions should the nurse take?
A. Allow visitors to hold the client's hand.
Choice A is incorrect because visitors may need to limit their contact with the client and follow specific safety precautions.
B. Place the dosimeter film badge on the client's door.
Choice B is incorrect because a dosimeter film badge is worn by the nurse to measure radiation exposure, not placed on the client’s door.
C. Wear a lead apron when providing client care.
Wearing a lead apron can help protect the nurse from radiation exposure while providing care to a client receiving internal radiation therapy.
D. Leave the door to the client's room open.
Choice D is incorrect because the door to the client’s room may need to be kept closed as a safety precaution 2.
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
Wearing a lead apron can help protect the nurse from radiation exposure while providing care to a client receiving internal radiation therapy.
Choice A is incorrect because visitors may need to limit their contact with the client and follow specific safety precautions.
Choice B is incorrect because a dosimeter film badge is worn by the nurse to measure radiation exposure, not placed on the client’s door.
Choice D is incorrect because the door to the client’s room may need to be kept closed as a safety precaution 2.
Similar Questions
A nurse is planning care for a client who has a central venous access device for intermittent infusions.
Which of the following actions should the nurse include in the plan of care?
A. Use an aseptic technique when changing the dressing.
The aseptic technique is important to prevent infection when changing the dressing of a central venous access device.
B. Cleanse the site with povidone-iodine.
Choice B is not correct because povidone-iodine is not always the recommended cleansing agent for central venous access devices.
C. Flush the catheter using a 10-mL syringe.
Choice C is not correct because a 10-mL syringe may generate too much pressure and damage the catheter.
D. Change the dressing every 24 hours.
Choice D is not correct because the dressing does not always need to be changed every 24 hours; the frequency of dressing changes depends on the type of dressing and the condition of the site.
Full Explanation
The aseptic technique is important to prevent infection when changing the dressing of a central venous access device.
Choice B is not correct because povidone-iodine is not always the recommended cleansing agent for central venous access devices.
Choice C is not correct because a 10-mL syringe may generate too much pressure and damage the catheter.
Choice D is not correct because the dressing does not always need to be changed every 24 hours; the frequency of dressing changes depends on the type of dressing and the condition of the site.
A nurse is planning care for an older adult client who has Ménière's disease.
Which of the following interventions should the nurse include in the plan?
A. Encourage the client to change positions slowly.
This can help prevent dizziness and loss of balance, which are common symptoms of Ménière’s disease.
B. Perform range-of-motion exercises to the client's neck every 4 hours.
Choice B is not correct because range-of-motion exercises to the client’s neck every 4 hours are not a standard intervention for Ménière’s disease.
C. Administer aspirin if the client reports a headache.
Choice C is not correct because aspirin is not always the recommended medication for headaches associated with Ménière’s disease.
D. Limit the client's fluid intake to 1,500 mL per day.
Choice D is not correct because limiting fluid intake is not a standard intervention for Ménière’s disease.
Full Explanation
This can help prevent dizziness and loss of balance, which are common symptoms of Ménière’s disease.
Choice B is not correct because range-of-motion exercises to the client’s neck every 4 hours are not a standard intervention for Ménière’s disease.
Choice C is not correct because aspirin is not always the recommended medication for headaches associated with Ménière’s disease.
Choice D is not correct because limiting fluid intake is not a standard intervention for Ménière’s disease.
A nurse is caring for a client who has a chest tube. The client asks why the fluid in the water-seal chamber rises and falls.
Which of the following statements should the nurse make?
A. "This indicates a possible air leak.".
Choice A is not correct because tidaling does not indicate an air leak.
B. "This means your lung is fully re-expanded.".
Choice B is not correct because tidaling does not necessarily mean that the lung is fully re-expanded.
C. "Your breathing pattern causes this.".
The fluctuation of fluid in the water-seal chamber of a chest tube is known as tidaling and is caused by the changes in pressure within the chest during respiration.
D. "Suction pressure that is too high causes this.".
Choice D is not correct because suction pressure does not cause tidaling.
Full Explanation
The fluctuation of fluid in the water-seal chamber of a chest tube is known as tidaling and is caused by the changes in pressure within the chest during respiration.
Choice A is not correct because tidaling does not indicate an air leak.
Choice B is not correct because tidaling does not necessarily mean that the lung is fully re-expanded.
Choice D is not correct because suction pressure does not cause tidaling.