1. Before donning gloves to perform a procedure, proper hand hygiene is essential. The

nurse understands that the most important aspect of had hygiene is the amount of

friction

2. A nurse is demonstrating postoperative deep breathing and coughing exercise to a client

about to undergo emergency abdominal surgery for appendicitis. The nurse realizes the

client may be unprepared to learn if the client

reports severe pain

3. A client comes to the emergency department reporting that he has had diarrhea for 4 days

and is urinating less than usual. When assessing the client‟s skin turgor, the nurse should

grasp a fold of the skin on the chest under the clavicle, release it, and not the depth of

the impression

4. A nurse is planning interventions for a group of clients who are obese. What can the

nurse do to improve their commitment to a long-term goal of weight loss?

attempt to develop the client‟s self-motivation

5. When admitting a client, the nurse records which information in the client‟s record first?

assessment of the client

6. A nurse tells a client that the provider has prescribed IV fluids. The client appears to be

upset about the IV catheter insertion, but says nothing to the nurse. Which of the

following is an appropriate nursing response?

Is there something about this procedure that concerns you?