The nurse is caring for a client with a fecal incontinence pouch. What should the nurse do when caring for this client? 1. Assess perianal skin. 2. Irrigate the pouch every shift. 3. Maintain the drainage system. 4. Change the bag every 72 hours. 5. Explain the purpose of the system to the client. […]
Date: September 18th, 2020
In looking at the nineteenth century, the growth of professional nursing was stimulated by: 1. The Civil War 2. Federal legislation 3. Florence Nightingale 4. The women’s suffrage movement ANSWER ANS: 1 The Civil War stimulated the growth of nursing in the United States. Nurses were in demand to tend to the soldiers of […]
Date: September 18th, 2020
A client who is recently diagnosed with cancer is encouraged to consider sharing the information with her family so they can support her through the decisions she will need to make regarding her care. The nurse is using the principle of: 1. Confidentiality 2. Fidelity 3. Veracity 4. Justice ANSWER ANS: 3 Veracity in […]
Date: September 18th, 2020
For a 2-year-old child, cognitive development is characterized by: 1. Recognizing right and wrong 2. Initiating play with other children 3. Having a vocabulary of at least 1000 words 4. Using short sentences to express independence ANSWER ANS: 4 A 2-year-old child uses short sentences to express independence and control, does not under-stand the […]
Date: September 18th, 2020
After an assessment, the nurse determines that a client’s sequential compression devices need to be removed. What should the nurse document about this client’s status in the medical record? 1. Client ambulating without assistance. 2. Client complains of numbness, tingling, and leg pain with the sequential compression devices. 3. Client requested devices to be removed. […]
Date: September 18th, 2020
Which of the following statements made by the parents of a newborn best reflects an under-standing regarding the diagnosis of postpartum depression? 1. “I helped my sister when she was depressed after the birth of her second child.” 2. “I have a wonderfully supportive family who will be there if I start feeling de-pressed.” 3. […]
Date: September 18th, 2020
Swanson’s theory of caring is best demonstrated when the nurse: 1. Demonstrates efficiency when performing ordered treatments 2. Offers to stay with the client during a painful bedside procedure 3. Administers the client’s pain medication promptly when requested 4. Frequently updates a family regarding a client’s status during surgery ANSWER ANS: 2 Swanson’s theory […]
Date: September 18th, 2020
The home health nurse is assessing the client’s environment for safety concerns and finds that most of the rooms in the house have only one outlet with various cords entering the outlet. The nurse notes this concern to the client and the client’s spouse. They inform the nurse that “this is the way we’ve lived […]
Date: September 18th, 2020
A 49-year-old client is experiencing problems with depression. She has come to the clinic show-ing signs of malnutrition and fatigue. Which of the following is the best initial statement for the nurse to make in the assessment phase? 1. “How much weight have you lost over the past month?” 2. “Have you recently been experiencing […]
Date: September 18th, 2020
The nurse is concerned that a client is not aware of being in the hospital. For what aspects of the sensory process should the nurse assess the client? 1. Speech 2. Stimuli 3. Receptor 4. Perception 5. Impulse conduction ANSWER Correct Answer: 2, 3, 4, 5 Rationale 1: Speech is not an aspect of […]
Date: September 18th, 2020
