A client who is immobilized in bed due to skeletal traction tells the nurse that they miss their ex-ercise regimen that they had started prior to the accident that resulted in their hospitalization. The nurse knows that which of the following is a good form of exercise that this client can still perform while immobilized? […]
The nurse recognizes which of the following clients as being at greatest risk for a negative nitro-gen balance? 1. A 10-year-old with an infected laceration on the left thumb 2. A 75-year-old who fell and experienced a mild concussion 3. A 40-year-old who has partial-thickness burns over 15% of his body 4. A 19-year-old who […]
The nurse is admitting an older client to the care area. What can the nurse do to promote a safe environment for the client? 1. Keep clutter to a minimum in the client’s room. 2. Have the client wear terry-cloth slippers. 3. Provide adequate lighting. 4. Turn off alarms to reduce noise. ANSWER Correct […]
A client has recently experienced difficulty hearing out of both ears. Which of the following is the best nursing response to the client? 1. “Let’s irrigate your ears with cool water.” 2. “Can you turn your head toward me when I am talking to you?” 3. “Your hearing aid should not need a new battery […]
The nurse is reviewing safety with a home-care client. What should the nurse include in this teaching? 1. Always pull a plug at the plug-in from the wall outlet. 2. Keep plants in the home. 3. Use overloaded outlets when necessary. 4. Remove labels from containers and refill for recycling. ANSWER Correct Answer: 1 […]
The nurse is caring for a client newly diagnosed with type 2 diabetes mellitus. Which of the fol-lowing nursing interventions best reflects Orem’s nursing theory? 1. Arranging for a consult with a certified diabetic nurse educator 2. Demonstrating proper documentation of glucose testing results 3. Explaining the role of A1C values in the management of […]
The nurse is assessing a client diagnosed with chronic bronchitis who has been experiencing an increase in dyspnea. The client lives within 2 blocks of a factory that emits pollution into the air. In light of this information, the nurse is primarily concerned with: 1. Performing a complete client health history and physical assessment 2. […]
During the bath, the client suddenly says, “I am not going to get well. I think I am going to die.” What response given by the nurse is most appropriate? 1. “Let’s think of something more cheerful.” 2. “You are doing so well; don’t talk like that.” 3. “What makes you think you are dying?” […]
Following a surgical procedure, an older Chinese woman refuses to perform the range of motion and breathing exercises requested, in addition is hesitant to complete her hygienic care and grooming. The nurse recognizes that this is most likely related to: 1. Dependence on health care providers for care 2. Reliance upon family members to assist […]
Nursing students are required to attend at least two community activities related to health and wellness. What resource would best help them identify the type and time of these activities? 1. Online computer services 2. Recreational directors 3. Local newspapers 4. Telephone book ANSWER Correct Answer: 3 Rationale: Local newspapers contain information—including date and […]
