A client with a skin rash is prescribed a bath in which medication is added to the bath water. The nurse should plan for the client to receive which type of bath? 1. Shower 2. Tub 3. Partial 4. Complete ANSWER Correct Answer: 2 Rationale 1: A shower would not permit the medication to […]
Date: September 19th, 2020
In selecting alternative therapies, the nurse recognizes that therapeutic touch may be most effec-tive with a: 1. Premature infant 2. Headache sufferer 3. Pregnant woman 4. Psychiatric client ANSWER ANS: 2 Studies have found that therapeutic touch is effective in reducing headache pain. Clients such as premature infants, who are sensitive to energy repatterning, […]
Date: September 19th, 2020
The nurse has identified the goals of maintaining client safety and homeostasis during the intraoperative phase of client care. What nursing activities would support these goals? 1. Maintain the sterile field. 2. Perform instrument counts. 3. Instruct in postoperative exercises. 4. Position the client appropriately for surgery. 5. Perform preoperative skin preparation. ANSWER Correct […]
Date: September 19th, 2020
A client has episodes of bowel and bladder incontinence. When planning care for this client, the nurse would identify which nursing diagnosis as being appropriate? 1. Impaired Skin Integrity 2. Risk for Impaired Skin Integrity 3. Impaired Tissue Integrity 4. Risk for Infection ANSWER Correct Answer: 2 Rationale 1: Impaired Skin Integrity is appropriate […]
Date: September 19th, 2020
Which one of the following is the main, overarching goal for Healthy People 2010? 1. Reduction of health care costs 2. Elimination of health disparities 3. Investigation of substance abuse 4. Determination of acceptable morbidity rates ANSWER ANS: 2 Two overarching goals for Healthy People 2010 are (1) to increase quality and years of […]
Date: September 19th, 2020
Pregnancy affects a woman’s oxygenation needs primarily because of: 1. The increased metabolic demands required to support the fetus 2. The increased tendency to develop anemia as a result of low iron reserves 3. The decreased ability to engage in the physical exercise required to promote cir-culation 4. The decreased lung capacity resulting from the […]
Date: September 19th, 2020
A client has intravenous therapy for the administration of antibiotics and is stating that the “IV site hurts and is swollen.” Which of the following information assessed on the client indicates the presence of phlebitis, as opposed to infiltration? 1. Intensity of the pain 2. Warmth of integument surrounding the IV site 3. Amount of […]
Date: September 19th, 2020
The nurse is educating a client diagnosed with type 2 diabetes, who is susceptible to foot wounds, on how to minimize the risk for infection related to poor wound healing by not being a susceptible host. The most appropriate suggestion would be to: 1. Inspect feet and legs daily for skin breakdown 2. See a […]
Date: September 19th, 2020
The nurse documents that a client is fully conscious. What did the nurse assess in this client? 1. Client responded to verbal stimuli. 2. Client responded to written words. 3. Client oriented to time, place, and person. 4. Client demonstrated poor memory. 5. Client alert. ANSWER Correct Answer: 1, 2, 3, 5 Rationale 1: […]
Date: September 19th, 2020
When dealing with toddlers or preschoolers what communication technique may be used most effectively? 1. Using analogies to explain health-related ideas 2. Allowing manipulation of equipment to be used 3. Moving quickly and minimizing contact to avoid distress 4. Focusing on what other children on the unit may have been doing ANSWER ANS: 2 […]
Date: September 19th, 2020
