A nurse is working in the health office at a local college where most of the students are young adults. Being aware of the major concerns for this age-group, the nurse includes assessment of these clients’: 1. Current marital history status 2. Lifestyle and leisure activities 3. Experience with chronic disease 4. History of childhood […]
The nurse is making an occupied bed. Which step will provide comfort for the client during this linen change? 1. Allow for a toe pleat. 2. Place a bath blanket over the client. 3. Slide the mattress to the head of the bed. 4. Raise the side rail. ANSWER Correct Answer: 1 Rationale 1: […]
The nurse is preparing the skin of a client for surgery. The nurse knows the purpose of the surgical skin preparation is to 1. sterilize the skin. 2. assess the surgical site before surgery. 3. reduce the risk of postoperative wound infection. 4. clean any moles the client may have. ANSWER Correct Answer: 3 […]
Which of the following client statements would be the best evidence that this young adult has adopted a positive strategy to promote his own personal emotional health? 1. “I drink alcohol only on special occasions and then moderately.” 2. “I run at least three times a week; it seems to help me stay relaxed.” 3. […]
Which of the following clients will most benefit from client/parent education regarding the pre-vention of renal infections via proper hygiene habits? 1. Males ages 35 to 65 2. Males ages 3 to 16 3. Females ages 3 to 12 4. Females ages 20 to 50 ANSWER ANS: 3 The 3- to 12-year-old female has […]
A client is admitted for treatment of various poorly healing, infected leg ulcers. The nurse recog-nizes that the client’s nutritional history is of primary importance since: 1. Nutrition is vital to the client’s overall health status 2. The client’s food intake will likely be decreased as a result of the illness 3. Wound healing and […]
Which of the following statements made by a client concerning birth control requires immediate correction by the nurse? 1. “My partner is responsible for our birth control; he uses a condom.” 2. “I’ve gained some weight so I should have my diaphragm refitted.” 3. “My husband is reluctant to have a vasectomy since it is […]
When a client’s husband questions how a patient-controlled analgesia (PCA) pump works, the nurse explains that the client: 1. Has control over the frequency of the intravenous (IV) analgesia 2. Can choose the dosage of the drug received 3. May request the type of medication received 4. Controls the route for administering the medication […]
The son of a client in the initial stage of the dying process is concerned that, “Mom just isn’t eat-ing much.” The nurse responds most therapeutically by answering: 1. “Her body systems are beginning to shut down and she just doesn’t need as much food.” 2. “Her pain medication may be making her nauseated. Has […]
The client has very recently been let go from his place of employment and is very upset about the loss. The nurse is establishing a plan of care for the client, she determines that an appropriate outcome for this client with situational low self-esteem is 1. Client will recognize his inability to make decisions 2. […]
