Exam 1: Physical Care

Which action is incorrect when flossing a client's teeth?

A client is admitted to the unit with an order for hourly monitoring of blood pressure. The nurse aide finds that the cuff is too small. This will cause the blood pressure reading to be:

Mr. Deely, 68 years old, is now recovering from a surgery for repair of a hip fracture. Which of the following is an appropriate care for Mr. Deely?

A client is ordered to have a cleansing enema. The nurse aide understands that the purpose of this kind of enema is to:

Which of the following factors contributes to constipation?

A client fell from the stairs and twisted her ankle. The injury caused inflammation of the ankle. Which of the following is least likely to be included in the interventions for the inflamed ankle?

Which of the following vital signs should the nurse assistant report to the nurse?

While putting an elderly client with an indwelling urinary catheter in bed, a nurse assistant notices the tubing hanging below the bed. She places the tubing in a loop on the bed with the client and makes sure the client won't lie on the tubing. Why does the nurse assistant do this?

Mrs. Gershwin has a deep vein thrombosis and was ordered by the doctor to apply elastic stockings. Which of the following actions indicates that the nurse assistant is applying the stockings correctly?

Mrs. Moore, a 69-year-old client, is emaciated. The nurse aide takes precautionary measures in order to prevent which of the following problems in skin integrity?

The nurse aide identifies a reddened area that does not blanch over the client's sacrum. The nurse aide should

Which item is inappropriate for a client whose dietary prescription is for clear liquids?

Which of the following actions should the nurse aide take to use a wide base support when assisting a client to get up in a chair?

Mr. Tomas Tau, 53 years old, suffered from stroke and has now manifested dysphagia. Which nursing action is most appropriate for this client?

The nurse aide in the activity room of a home health facility observes smoke billowing from the room that holds Ms. Monroe, a 69-year-old with Alzheimer's disease. What should be the nurse aide's first action?

Samuel Jack, 67 years old, is complaining of difficulty passing stools for several days. Upon changing his soiled diaper, you noticed an accumulation of hardened, putty-like fecal mass at the rectum. You need to report to the nurse that Mr. Jack has:

Lulu Simpson, 52 years old, is scheduled for a colonoscopy. Prior to the diagnostic procedure, a cleansing enema was ordered by the physician. As the nurse informs Ms. Simpson of the order, you are aware that the common position for this procedure is:

Mrs. Ricketts has chronic gouty arthritis. The diet appropriate for Mrs. Ricketts would include:

A nurse has delegated to you to test urine for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen:

When caring for a client in restraints, on what area of the bed should the restraints be anchored?