Which of the following statements indicates that the client is at risk for an electrical shock at home? 1. “I had to cut off the third prong on the electrical plug so that it would fit in the extension cord.” 2. “My bread got stuck in my toaster this morning, and I unplugged it before […]
Date: September 19th, 2020
The nurse is preparing to instruct a client on leg exercises to be used when recovering from abdominal surgery. What should the nurse determine before beginning this teaching? 1. Type of surgery 2. Time of surgery 3. Postoperative diet 4. Preoperative orders 5. Name of the surgeon ANSWER Correct Answer: 1, 2, 4, 5 […]
Date: September 19th, 2020
The nurse is concerned that a client is experiencing complicated grieving after the unexpected death of a son. The nurse most likely assessed 1. the client’s denying the son’s death. 2. depression. 3. sudden weight loss because of not eating. 4. crying. 5. verbalizing the desire to not live anymore. ANSWER Correct Answer: 1, […]
Date: September 19th, 2020
Which of the following is true of the NANDA label? (Select all that apply.) 1. Must contain three components 2. Describes the health problem for which nursing therapy is given 3. Helps define medical diagnoses for nursing 4. Promotes a taxonomy of nursing ANSWER Correct Answer: 1,2,4 Rationale: The purpose of NANDA is to […]
Date: September 19th, 2020
The client is able to ambulate without signs or symptoms of shortness of breath. Which statement by the nurse is the best example of an objective evaluation of the client’s goal attainment? 1. “Client has no pain after ambulating.” 2. “Client has no manifestations of nausea while up in hall.” 3. “Client walked well and […]
Date: September 19th, 2020
Which of the following nursing interventions has the greatest likelihood of minimizing the risk of injury for a client who frequently gets out of bed at night to go into the bathroom? 1. Limiting fluid intake after 6 PM 2. Illuminating the pathway to the bathroom 3. Toileting the client whenever awake at night 4. […]
Date: September 19th, 2020
An older female client with a history of urinary tract infections has an indwelling urinary catheter. What should the nurse do to reduce this client’s risk of developing an infection because of the catheter? 1. Maintain a sterile closed drainage system. 2. Clean the peri-urethral area with antiseptics. 3. Ensure the catheter and tubing are […]
Date: September 19th, 2020
Although Florence Nightingale demonstrated the importance of research in nursing care as early as 1854, the research approach did not take hold in nursing until the beginning of the 20th century. Put these events in chronological order, starting with the earliest (1) and proceeding to the most recent (4): 1. The National Center for Nursing […]
Date: September 19th, 2020
A client with a nursing diagnosis of activity intolerance has developed reddened areas on both heels and his coccyx. Which of the following nursing interventions will most likely have the greatest impact on this diagnosis? 1. Ambulating him to the bathroom before returning to bed 2. Encouraging him to change position every 2 hours while […]
Date: September 19th, 2020
Which of the following statements regarding physical activity and its effect on activity tolerance made by a client shows the most informed knowledge regarding the connection between the two? 1. “I know I need to walk more if I want to get stronger.” 2. “I don’t like walking, but I do it because I know […]
Date: September 19th, 2020
