A client who is suspected of having vascular insufficiency to the lower extremities is assessed by the nurse to have a(n): 1. Increased hair growth on the legs and feet 2. Dull appearance of the skin 3. Erythema upon elevation of the feet 4. Diminished pedal pulses ANSWER ANS: 4 The client with vascular […]
Date: September 18th, 2020
Which of the following is the most appropriate nursing intervention for a client who is receiving epidural analgesia? 1. Change the tubing every 48 to 72 hours. 2. Change the dressing every shift. 3. Secure the catheter to the outside skin. 4. Use a bulky occlusive dressing over the site. ANSWER ANS: 3 To […]
Date: September 18th, 2020
The nurse is working with postoperative clients on a surgical unit. One aspect of care is manipula-tion of the client’s environment. This involves the nurse: 1. Repositioning the client q2h 2. Removing clutter from the client’s room 3. Delegating ambulation of clients to the nursing assistant 4. Providing pain medication to the client before a […]
Date: September 18th, 2020
The nurse is caring for a client who experiences frequent bouts of diarrhea. What should the nurse instruct the client to do? 1. Change the daily routine. 2. Decrease fluid consumption. 3. Increase fiber in the diet. 4. Note the precipitating event. ANSWER Correct Answer: 4 Rationale 1: Changing one’s daily routine can cause […]
Date: September 18th, 2020
After completing the initial assessment, the nurse is able to identify the client’s teaching needs as well as the support system in the home environment. The main reason that education is a common intervention in the home care setting is related to: 1. Lack of knowledge related to health conditions and self-care. 2. The fact […]
Date: September 18th, 2020
A 79-year-old client drives his car in the local areas near his home. The most appropriate driving tip for the nurse to give this client is: 1. “Go very, very slow so you will have some chance of reacting” 2. “Take your time on long road trips when you are by yourself” 3. “Remember to […]
Date: September 18th, 2020
The client states, “I don’t know what all this fuss is about religion. God died years ago.” The nurse does believe in God and has a strong inclination to share reasons for that belief with the client. What is the best question for the nurse to consider before responding to the client’s remark? 1. “Will […]
Date: September 18th, 2020
A 73-year-old client who is no longer working as a cabinetmaker begins to make statements that suggest negative self-concept. This is most likely related to: 1. The prospect of limited financial and health care resources 2. The loss of family members and friends to death and illness 3. The physical changes the aging process has […]
Date: September 18th, 2020
Which of the following should the nurse do first when introducing a feeding to a client with an indwelling gavage tube? 1. Irrigate the tube with normal saline solution. 2. Check to see that the tube is properly placed. 3. Place the client in a supine position. 4. Introduce some water before giving the liquid […]
Date: September 18th, 2020
A nurse educator has always believed that lectures with focused outlines are the best way to present theory content in class. A colleague who teaches the same group of students, but a different subject, utilizes group work and in-class activities to teach difficult content and finds that students perform as well, or better, on their […]
Date: September 18th, 2020
