A client with pain has had previous episodes of uncontrolled pain in the past and is worried about the current pain pattern. Which diagnosis would be appropriate for the nurse to include for this client? 1. Anxiety 2. Ineffective Coping 3. Deficient Knowledge 4. Hopelessness ANSWER Correct Answer: 1 Rationale: The diagnosis of Anxiety […]
The nurse is discussing signs and symptoms of both upper and lower urinary tract infections with a client who has a history of both. Which of the following statements by the client reflects the best understanding of the differing symptomatology? 1. “When I get cloudy urine, I figure I have an infection.” 2. “Burning when […]
During an assessment, the nurse learns that a client has been having periodic upper respiratory infections since experiencing the death of a close family member. The nurse identifies this client’s reaction to stress as being a 1. stimulus. 2. response. 3. transaction. 4. negotiation. ANSWER Correct Answer: 1 Rationale 1: Stress is defined as […]
The nurse realizes that a woman who has experienced a voluntary abortion will be most likely to experience a sense of: 1. Loss and sadness 2. Remorse and regret 3. Relief and confidence 4. Peace and contentment ANSWER ANS: 1 When a woman chooses abortion as a way of dealing with an unwanted pregnancy, […]
A client experiencing chronic pain is not getting relief with pain medication. What should the nurse do to help this client? 1. Ask the physician to change the prescribed pain medication. 2. Reassess the pain and consider another pain relief measure. 3. Limit interaction with the client. 4. Stop using alternative pain relief measures, if […]
An adult client who has been a successful writer in the past has been experiencing low self-esteem over the last year. Which behaviors indicate that the client is attempting to make positive changes? 1. The client joined a library book club. 2. The client counted the number of rejection letters she received from publishers. 3. […]
A client rates pain as being 7 on a scale from 0 to 10. What should the nurse document as this client’s pain intensity? 1. Mild pain 2. Moderate pain 3. Severe pain 4. Physiological pain ANSWER Correct Answer: 3 Rationale 1: Mild pain is rated as being from 1 to 3 on a […]
The nurse is discussing eye safety with a group of adults who regularly work around power tools. Which of the following questions should be the initial follow-up to the nurse’s inquiry, “Do you own safety glasses?” 1. “Are they in good working order?” 2. “How long have you been using them?” 3. “Do you wear […]
A client tells the nurse about rarely feeling thirsty. The nurse realizes that further assessment is needed to evaluate 1. status of osmotic pressure. 2. vascular volume. 3. presence of angiotensin. 4. urine output. 5. body weight. ANSWER Correct Answer: 1, 2, 3 Rationale 1: A number of stimuli trigger the thirst center, including […]
On admitting a client, the nurse finds that there is a history of myocardial ischemia. The most disconcerting dysrhythmia for electrocardiography to reveal is: 1. Sinus bradycardia 2. Sinus dysrhythmia 3. Ventricular tachycardia 4. Atrial fibrillation ANSWER ANS: 3 Ventricular tachycardia would be the most disconcerting dysrhythmia of the four options. Ven-tricular tachycardia results […]
