The nurse is preparing to collect a throat culture from a client. What client response indicates to the nurse that teaching about this test has not been effective? 1. “I need to hyperextend my neck.” 2. “I need to say ‘ah.’” 3. “I will need to sit up.” 4. “The nurse will use a light.” […]
Date: September 19th, 2020
The nurse suspects that a client is having difficulty with specific self-esteem. Which client statements caused the nurse to have this concern? 1. “I hate my hair.” 2. “Life is wonderful!” 3. “My hips are too big.” 4. “I wish I had that nose job 2 years ago.” 5. “It is awesome that I got […]
Date: September 19th, 2020
A female client is seen in the outpatient clinic for numerous cuts, bruises, and apparent burns. In a discussion with the client, the nurse finds that the injuries are inconsistent with the stated cause. The client also states that she is having trouble sleeping, and she appears anxious. Based on these findings, the nurse suspects […]
Date: September 19th, 2020
The nurse is caring for a 48-year-old male client who was involved in a motor vehicle accident and had a fractured pelvis, a ruptured spleen, and multiple contusions. The client has been in the hospital for 5 days on bed rest. The nurse knows that this client is at risk for venous thrombus formation because […]
Date: September 19th, 2020
Which of the following would the nurse expect as a normal change in the bowel elimination as a person ages? 1. Absorptive processes are increased in the intestinal mucosa. 2. Esophageal emptying time is increased. 3. Changes in nerve innervation and sensation cause diarrhea. 4. Mastication processes are less efficient. ANSWER ANS: 4 An […]
Date: September 19th, 2020
Which of the following client reactions reflects the greatest positive response to the nurse’s use of caring touch in the form of a backrub? 1. The nurse observes the client smiling. 2. The client falls asleep shortly after the backrub. 3. The nurse feels the client’s back muscles relaxing. 4. The client tells his wife […]
Date: September 19th, 2020
Nurses need to be aware of current trends in the health care delivery system in order to respond in educational preparation and practice. A major trend that is influencing nursing practice today is: 1. Decreased client acuity 2. Increased hospital stays 3. Decreased emphasis on health promotion 4. Increased incidence of chronic disease processes […]
Date: September 19th, 2020
Which of the following statements best reflects the nurse’s role in the health and maintenance of a client’s skin? (Select all that apply.) 1. “I’ll note on the client’s care plan to apply lotion to her dry elbows.” 2. “I’m on my way in to turn the client. Will you be able to help me?” […]
Date: September 19th, 2020
A home health client has been prescribed nutritional supplements three times a day. The formula is expensive and the client tells the home health nurse that she is taking them three times a day, but diluting them so she can use only one can, not three, per day. As a client advocate, the nurse should: […]
Date: September 19th, 2020
To achieve Magnet status, the nursing staff of a hospital must exhibit: (Select all that apply.) 1. A “client first” mentality 2. Autonomy of personal practice 3. Strong involvement in life-long learning 4. Ability to use “state of the art” technology 5. Strong nurse-health care provider collaboration 6. Clinical competence through earned certifications ANSWER […]
Date: September 19th, 2020
