What is the single greatest factor that contributes to the struggle of today’s nurses to “know” the client? 1. Nursing shortage 2. High client acuity 3. Shorter hospital stays 4. Increasing client loads ANSWER ANS: 4 Nurses have increasingly less time to spend with clients, making it much harder to know who they are. […]
The nurse is preparing the discharge teaching materials on newly prescribed drugs to a client di-agnosed to be in the early stage of Alzheimer’s disease. The nurse best deals with the client’s cognitive deficits by: 1. Providing written material to supplement the discussion 2. Arranging for family to be present during the discussion 3. Presenting […]
A client is concerned because he was unable to achieve an erection during his last sexual encounter with his wife. He tells the nurse that he has worried about becoming impotent because he had a sexually transmitted infection as a young adult. What is the nurse’s best response to this client’s concerns? 1. Sexually transmitted […]
When a client’s serum sodium level is 120 mEq/L, the priority nursing assessment is to monitor the status of which body system? 1. Neurological 2. Gastrointestinal 3. Pulmonary 4. Hepatic ANSWER ANS: 1 Because sodium is necessary for nerve impulse transmission, the priority nursing assessment with hyponatremia is the neurological system.
The nurse is teaching a client on the use of a cane. What should the nurse include in this teaching? 1. Hold the cane on the weaker side of the body. 2. Move the cane forward while the body weight is between both legs. 3. The length of the cane should permit the elbow to […]
Which of the following statements made by a family member of a client recently diagnosed with Alzheimer’s disease is most reflective of an understanding of this disease process? 1. “Dad has always been a fighter; he’ll fight this too. He won’t give up.” 2. “We have an appointment with his care provider to see about […]
The nurse has completed closed irrigation of a client’s retention catheter. What specific information should the nurse document about this procedure? 1. Number of ml of solution used to inflate the balloon of the catheter 2. Abnormal drainage, such as blood clots, pus, or mucous shreds 3. Location of the draining bag 4. Technique used […]
The nurse is conferring with the nutritionist about the needs of a Native American. The nurse an-ticipates that the client will: 1. Follow a strict vegetarian diet 2. Avoid the use of alcohol and tobacco 3. Expect to avoid pork-related products 4. Follow a diet according to individual tribal beliefs ANSWER ANS: 4 Food […]
The nurse is utilizing the technique of inspection during a physical examination with a client. When using this technique, the nurse will take which actions? 1. Visually observe a body area. 2. Obtain information through the sense of smell. 3. Obtain information through the sense of hearing. 4. Examine the body through the use of […]
A client with tattooed eyeliner is scheduled for an MRI. What should the nurse instruct the client about this diagnostic test? 1. Earplugs will be provided. 2. Lie very still. 3. Report any burning sensation. 4. Wear goggles. ANSWER Correct Answer: 4 Rationale 1: Earplugs are offered to reduce the noise. Rationale 2: One […]
