A unit manager on a busy multi-service medical nursing unit decides to take responsibility for the direct client care of one of the many new admissions. Later the manager decides she is too busy to give adequate client care. Which of the following situational leadership styles does the nurse manager need to apply? 1. Coaching […]
There are factors that influence the musculoskeletal system associated with aging. The nurse rec-ognizes that with age: 1. Men have the greatest incidence of osteoporosis 2. Muscle fibers increase in size and become tighter 3. Weight-bearing exercise reduces the loss of bone mass 4. Muscle strength does not diminish as much as muscle mass […]
A patient is diagnosed with a systemic infection. What will the nurse most likely assess in this client? 1. Edema, rubor, heat, and pain 2. Fever, malaise, anorexia, nausea, and vomiting 3. Palpitations, irritability, and heat intolerance 4. Tingling, numbness, and cramping of the extremities ANSWER Correct Answer: 2 Rationale 1: Edema, rubor, heat, […]
The nurse is discussing dietary intake with a client who is human immunodeficiency virus (HIV) positive. The nurse informs the client that the diet will include a: 1. Restriction of potassium, phosphate, and sodium 2. Reduction in carbohydrate intake 3. Decreased protein and increased folic acid intake 4. Reduction in fat with smaller, more frequent […]
Although all of the following represent poor transfer techniques, which is most likely to result in a shearing injury to the skin of an older adult client? 1. Only one staff member positioning an immobile client 2. Allowing the heels to be dragged as the client is being positioned 3. Failing to lower the head […]
A client who is devoutly Jewish is hospitalized during Yom Kippur, a time when many of the Jewish faith fast. The client expresses a desire to follow this religious pattern. How should the nurse respond to this wish? 1. Support the client’s desires to the extent possible. 2. Remind the client that most religions excuse […]
A client is complaining of shortness of breath, has no pallor, no cyanosis, and no accessory muscle use with respirations. The client’s respiratory rate is 16 breaths per minute. The nurse is concerned that the client’s report and the physical findings conflict. This nurse is using which universal standard of critical thinking? 1. Clarity 2. […]
A confused client needs to have restraints to prevent him from pulling out his Foley catheter. Which of the following can the nurse delegate to the nursing assistive personnel? 1. Applying restraints 2. Obtaining a physician’s order to restrain the client 3. Document the events that led to restraining the client 4. Evaluating the effectiveness […]
The nurse is discussing various sexual issues with a group of military personnel who have experi-enced spinal cord injuries. Which of the following statements best addresses the issue of alterna-tive methods of personal sexual gratification? 1. “People do whatever works best for them and their partner.” 2. “You don’t need anyone else to approve how […]
When changing the soiled linen on the bed of a client who is comatose, the nurse notices a red-dened, blanchable area approximately 2 cm in diameter on her left buttock. The nurse’s initial skin breakdown intervention is to: 1. Position the client on her right side 2. Finish providing fresh, dry linen to the client’s […]
