When menu planning for a newly diagnosed diabetic client who practices Judaism, the nurse should avoid which of the following dishes? 1. Vegetable beef soup 2. Chicken pot pie 3. Beef lasagna 4. Scrambled eggs ANSWER ANS: 3 Judaism prohibits the mixing of milk or dairy products with meat dishes, and the beef lasagna […]
The nurse is caring for a client diagnosed with bilateral middle ear infections. Which of the fol-lowing statements made by the nurse best reflects an understanding of the effects of this condi-tion on the client’s ability to move appropriately? 1. “He hasn’t reported any nausea or vomiting.” 2. “His ability to hear doesn’t seem to […]
The nurse is attempting to ambulate an older adult client who recently experienced a fall at the assisted living facility where he resides. The client is reluctant to walk and consents to move only to the chair, reporting that “it hurts too much to walk.” Which of the following nursing interventions is most therapeutic regarding […]
What nursing diagnosis should the nurse select as appropriate to address bowel evacuation for a client who is on bed rest? 1. Bowel Incontinence 2. Constipation 3. Diarrhea 4. Disturbed Body Image ANSWER Correct Answer: 2 Rationale 1: Lack of sphincter control contributes to bowel incontinence, not bed rest. Rationale 2: Lack of activity, […]
The client has a documented stage III pressure ulcer on the right hip. What NANDA nursing diagnosis problem statement is most appropriate for use with this client? 1. Altered Tissue Perfusion 2. Impaired Skin Integrity 3. Impaired Tissue Integrity 4. Risk for Injury ANSWER Correct Answer: 3 Rationale 1:Although it is true that pressure […]
The nursing student admits to being mildly anxious about an upcoming examination. What is the likely result of this level of anxiety? 1. The student’s perception and learning is enhanced. 2. The student’s attention is focused solely on studying for the examination. 3. The student’s only topic of conversation is the examination. 4. The student […]
The nurse determines that the effectiveness of a medication is not as great when provided to female clients as it is with male clients. The nurse suspects that this difference in effectiveness is because of which factor? 1. Occupation 2. Hormones 3. Fat amount 4. Physical activity status 5. Fluid level ANSWER Correct Answer: […]
A new mother is concerned that her 2-week-old daughter is not sleeping through the night. The nurse should respond that infants usually develop a nighttime pattern of sleep by: 1. 1 month 2. 2 months 3. 3 months 4. 6 months ANSWER ANS: 3 Infants usually develop a nighttime pattern of sleep by 3 […]
In using communication skills with clients, the nurse evaluates which response as being the most therapeutic? 1. “Why don’t you stick to the special diet?” 2. “I noticed that you didn’t eat lunch. Is something wrong?” 3. “I think you need to find another physician that’s better than this one.” 4. “We can’t continue talking […]
The nurse recognizes that a federally funded program is likely providing healthcare coverage for the: 1. 35-year-old self-employed house painter. 2. 72-year-old retired schoolteacher. 3. 52-year-old nurse who runs the family farm. 4. 29-year-old mentally challenged sheltered workshop employee. 5. 40-year-old factory worker. ANSWER Correct Answer: 2,4 Rationale 1: This patient would be on […]
