A nurse is taking a health history from a client who states that he has been to numerous physicians and has had numerous laboratory tests (all of which were abnormal) and exploratory surgery, but no one is able to explain the etiology of his problem. The client also states that he has a PhD in […]
Date: September 19th, 2020
A 16-year-old has had a full leg cast in place for 2 months, and it is being removed today. Which of the following assessment findings would be expected following the removal of the cast? (Se-lect all that apply.) 1. Popliteal pulse equal in both legs 2. Slight footdrop noted on affected leg 3. Swelling noted […]
Date: September 19th, 2020
A parent of a 3-year-old boy states that she is concerned because he was potty trained long be-fore hospitalization but now refuses to use the toilet. What is the correct response by the nurse? 1. “Your son is probably feeling neglected, and you should make an effort to spend more time with him.” 2. “This […]
Date: September 19th, 2020
Which of the following goals best reflects measurability? 1. Client’s emotional state will be stable by time of discharge. 2. Client will experience normal sensations in feet by discharge. 3. Client will report being free of shoulder pain by discharge. 4. Client will have acceptable range of motion in elbow by discharge. ANSWER ANS: […]
Date: September 19th, 2020
For a client with receptive aphasia, which one of the following nursing interventions is the most effective? 1. Providing the client with a letter chart to use to answer complex questions 2. Using a system of simple gestures and repeated behaviors to communicate 3. Offering the client a notepad to write questions and concerns 4. […]
Date: September 19th, 2020
The nurse has made an error and is documenting such on the client’s record and notes. The action that the nurse should take is to: 1. Draw a straight line through the error and initial it. 2. Erase the error and write over the material in the same spot. 3. Use a dark color marker […]
Date: September 19th, 2020
The nurse is concerned that a client is at risk for the development of urinary tract infections. What did the nurse assess to come to this conclusion? 1. The client is wearing tight clothing. 2. The client is employed as a computer operator. 3. The client drinks 8–10 8-ounce glasses of water and low-calorie beverages […]
Date: September 19th, 2020
In the ANA Standards of Professional Performance, which one of the following is a specific measurement criterion for “The nurse’s decisions and actions on behalf of clients are determined in an ethical manner”? 1. Acts as client advocate 2. Participates in the collection of client data 3. Seeks experiences to maintain clinical skills 4. Consults […]
Date: September 19th, 2020
The nurse realizes that a postsurgical client who underwent a left knee replacement is most likely to experience which of the following urinary complications? 1. Dysuria 2. Bladder spasms 3. A bladder infection 4. Burning on urination ANSWER ANS: 1 Medications including anesthesia interfere with both the production and the characteristics of urine and […]
Date: September 19th, 2020
A client is prescribed 0.9% sodium chloride (normal saline), which is an isotonic solution. The nurse recognizes the primary goal of such intravenous therapy is to: 1. Expand the volume of fluid in the vascular system 2. Pull fluid from the cells 3. Keep protein levels normal 4. Move fluid into the cells ANSWER […]
Date: September 19th, 2020
