Which of the following statements by the home health nurse best reflects client advocacy in re-sponse to the client’s concern over the expense of the therapy? 1. “Have you considered the possibility of a renal transplant?” 2. “This peritoneal dialysis is less expensive than hemodialysis.” 3. “You must feel awful about this situation, but this […]
The nurse notes that the client’s blood pressure is substantially higher than it was on their last annual checkup. On questioning, the nurse learns that the client has been taking herbal therapy. The nurse understand that which of the following herbs is a central nervous stimulant that can cause a rise in blood pressure? 1. […]
The nurse is preparing to apply antiembolic stockings to a postoperative client. What should be done first, before applying the stockings? 1. Measure the calf. 2. Assess for circulatory problems. 3. Assess the client’s blood pressure. 4. Clean the stockings. ANSWER Correct Answer: 2 Rationale 1: Measuring the calf is the first step of […]
The nurse is preparing to assess a client’s fecal elimination status. Which activity will the nurse complete during this assessment? 1. Obtain a nursing history. 2. Interpret results of diagnostic tests. 3. Perform a physical examination. 4. Set goals with the client. ANSWER Correct Answer: 1 Rationale 1: Assessment of fecal elimination includes a […]
The home health nurse is preparing to educate a client on his or her newly prescribed medications. Which of the following nursing statements are appropriate to be included in this discussion? (Se-lect all that apply.) 1. “This medication is designed to lower your blood pressure.” 2. “Do you have medical insurance that covers the cost […]
The new nurse feels overwhelmed by the demands of working on a busy acute care unit and maintaining a growing family. What strategy should this nurse employ to lessen this stress? 1. Spend the lunch hour completing documentation while eating a sandwich. 2. Set the alarm earlier in order to get to work early. 3. […]
The nurse recognizes that the presence of an alcohol-abusing parent places a child at greatest risk for: 1. Homelessness 2. School truancy 3. Family violence 4. Accident-related injuries ANSWER ANS: 3 Factors such as alcohol and drug abuse increase the incidence of abuse within a family (Family Violence Prevention Fund, 2006b). While the other […]
A client recovering from hip surgery tells the nurse that she wants to get better so she can walk down the aisle to her seat at her granddaughter’s wedding. Which of the following nursing in-terventions will have the greatest impact on achieving that goal 1. Informing physical therapists that the client has expressed that goal […]
A nurse continues to question the practice of administering rectal suppositories to residents in a long-term care facility at bedtime, rather than earlier in the day. When told that this is the best time for staff and that’s the routine that has been practiced for a long time, the nurse continues to research whether there […]
The nurse assesses that the client may need a restraint and recognizes that: 1. An order for a restraint may be implemented indefinitely until it is no longer re-quired by the client 2. Restraints may be ordered on an as-needed basis 3. No order or consent is necessary for restraints in long-term care facilities 4. […]
