The nurse is aware of the positive responses that may be obtained with the use of alternative therapies. A benefit that the client can gain from relaxation therapy is a decrease in: 1. Receptivity 2. Peripheral skin temperature 3. Oxygen consumption 4. Alpha brain activity ANSWER ANS: 3 The relaxation response is characterized by […]
The nurse is alert to stressors that may have an influence on the young adult client. One example of a common stressor for this age-group is: 1. Occupational pursuits 2. Health-related matters 3. Coping with cognitive changes 4. Caring for the older adult parent ANSWER ANS: 1 A common stressor for the young adult […]
The nurse is preparing for morning rounds. What should the nurse avoid delegating to unlicensed assistive personnel? 1. Vital signs 2. Filling of water pitchers 3. Skull and face assessment 4. Ambulation of surgical clients ANSWER Correct Answer: 3 Rationale 1: Vital signs can appropriately be delegated to unlicensed assistive personnel. Rationale 2: Filling […]
Which of the following statements by an older adult shows the most need for follow-up regard-ing the risk for dehydration in this age-group? 1. “I have a glass of water with each meal and whenever I’m thirsty.” 2. “As long as I drink whenever I’m thirsty, I think I’ll be well hydrated.” 3. “I try […]
The nurse has completed discharge teaching for a client who will be going home on oxygen therapy. What statement made by the client would indicate that this client needs further instruction? 1. “I will replace my cotton blankets with polyester ones.” 2. “My son will not be able to smoke when I am around.” 3. […]
A toddler who has just been admitted to the pediatric unit is crying and scared. No treatment has been initiated at this point. The nurse needs to start an IV and the parent asks, “Will this be painful to my child?” In practicing veracity, the nurse responds: 1. “I won’t lie to you. It may […]
Which of the following client outcomes reflect the positive aspects of effective pain manage-ment? (Select all that apply.) 1. The client with arthritis in both hands knitting for pleasure 2. A client rating his chronic back pain as a 3 on a scale of 0 to 10 3. A client with type 2 diabetes walking […]
Upon admission to the postanesthesia care unit (PACU), the client who has no orthopedic or neurological restrictions is positioned with the: 1. Bed flat and the client’s arms to the sides 2. Client’s neck flexed and body positioned laterally 3. Head of the bed slightly elevated with the client’s head to the side 4. Client’s […]
Which of the following is most appropriate when the nurse assesses the intensity of the client’s pain? 1. Ask about what precipitates the pain. 2. Question the client about the location of the pain. 3. Offer the client a pain scale to objectify the information. 4. Use open-ended questions to find out about the sensation. […]
A client who had knee replacement surgery the previous day refuses to take any pain medication, even though he rates his pain as an 8 on a 0 to 10 scale. Upon questioning the client the nurse learns that the reason for refusing pain medication is be-cause he is concerned about injuring the knee and […]
