The nurse is preparing discharge teaching for a client recovering from surgery. What instruction is the most important for the nurse to give this client who has a surgical wound? 1. Adjust the diet so it contains more fruits and vegetables. 2. Apply lubricating lotion to the edges of the wound. 3. Notify the physician […]
Which one of the following individuals may legally give informed consent? 1. A 16-year-old for her newborn child 2. A sedated 42-year-old preoperative client 3. The friend of an 84-year-old married client 4. A 56-year-old who does not understand the proposed treatment plan ANSWER ANS: 1 An emancipated minor, one who is below the […]
Abandoning a client would be an example of a nurse’s failure to professionally display: 1. Justice 2. Fidelity 3. Beneficence 4. Nonmaleficence ANSWER ANS: 2 Fidelity refers to the agreement to keep promises. A commitment to fidelity supports the reluc-tance to abandon clients. The remaining options refer to fairness, kindness, and doing no harm.
Proper documentation regarding the assessment of a pressure ulcer must include which of the following information concerning the wound? (Select all the apply.) 1. Presence of pain 2. Depth of damage 3. Length and width 4. Presence of drainage 5. Description of drainage 6. Condition of surrounding tissue ANSWER ANS: 2, 3, 4, 5, […]
During review of admission data, the nurse learns that the new client has impairment of kinesthetic sensation. Which nursing intervention should be planned for this client? 1. Use the clock face as a format for describing the position of food on meal trays. 2. Provide all teaching materials in very large font. 3. Ensure that […]
A client who takes furosemide presents at the emergency department with weakness and fatigue and complains of nausea and vomiting for 3 days. Upon assessment, the nurse finds that the client has decreased bowel sounds and ECG abnor-malities including a flattened T wave and flattened ST segment. The nurse knows that these are signs of: […]
An obese quadriplegic client has requested being transferred to a chair so he can be fed lunch sit-ting upright. Which of the following statements made by the ancillary personnel assigned the task reflects the best understanding of the implementation of this transfer? 1. “I’ll reserve the mechanical lift for right before lunch.” 2. “I’ll certainly […]
The client’s apical pulse will be taken by a student. According to the nurse the stethoscope should be placed along the left clavicular line at the: 1. Second to third intercostal space 2. Third to fourth intercostal space 3. Fourth to fifth intercostal space 4. Fifth to sixth intercostal space ANSWER ANS: 3 An […]
Nursing activities that represent the various characteristics of the nursing process includes the nurse’s: 1. Notifying the surgeon that a postoperative client is experiencing an increase in temperature. 2. Advocating for a client who is mentally incapable of expressing her needs. 3. Deciding to increase a client’s nasal oxygen based on his current pulse oxygenation […]
A client has been prescribed both a bronchodilator and a steroid medication that is delivered by inhaler. What information is essential to teach this client in regard to these medications? 1. The medications cannot be used on the same day. 2. The steroid inhaler should be used when immediate effects are necessary. 3. The bronchodilator […]
