The nurse is preparing to assist the client with meditation and breathing. In preparing to imple-ment this therapy, the first step is to: 1. Position the client 2. Provide a warm environment 3. Have the client close his/her eyes 4. Note areas of tension or pain ANSWER ANS: 1 The first step in assisting […]
Date: September 17th, 2020
A client repeatedly tells the nurse that “all will be well” and “I’m fine” in response to learning of a health problem that requires immediate surgery. The nurse realizes that which diagnosis is appropriate for the client at this time? 1. Compromised Family Coping 2. Ineffective Coping 3. Disabled Family Coping 4. Defensive Coping […]
Date: September 17th, 2020
An infant born via cesarean section because of a breech presentation is diagnosed with bilateral congenital hip dysplasia. The primary nursing intervention directed toward this diagnosis is: 1. Assessing the infant frequently to determine abduction of the thighs 2. Maintaining the infant in the position of continuous abduction of both hips 3. Educating the parents […]
Date: September 17th, 2020
During diet teaching with a client diagnosed with diabetes, the nurse should instruct that the most prevalent monosaccharide is 1. fructose. 2. galactose. 3. corn syrup. 4. glucose. ANSWER Correct Answer: 4 Rationale 1: Fructose is not as abundant as is glucose. Rationale 2: Galactose is not as abundant as is glucose. Rationale 3: […]
Date: September 17th, 2020
The nurse is preparing to bath a client on the first postoperative day. Which nursing intervention should take priority? 1. Apply lotion to the extremities. 2. Change the water when it becomes cold. 3. Raise side rails when gathering supplies. 4. Remove the soiled dressing during the bath. ANSWER Correct Answer: 3 Rationale 1: […]
Date: September 17th, 2020
What standard of care applies to the student nurse’s conduct when providing care normally per-formed by a registered nurse (RN)? 1. The same standard of care as an RN 2. A standard of care of an unlicensed person 3. No special standard of care because her faculty member is responsible for her conduct 4. A […]
Date: September 17th, 2020
The nurse should incorporate which instructions into the teaching plan for a client with a urinary diversion? 1. Change the appliance several times a day. 2. Increase fluid intake. 3. Notify the physician if the stoma is deep pink and shiny. 4. Strands of blood may appear in the urine. ANSWER Correct Answer: 2 […]
Date: September 17th, 2020
In documentation of nursing care plans, critical pathways differ from traditional nursing care plans in their: 1. Client outcomes 2. Client assessment 3. Nursing interventions 4. Multidisciplinary approach ANSWER ANS: 4 Critical pathways are multidisciplinary. They allow staff from all disciplines, such as medicine, nursing, pharmacy, and social work, to develop integrated care plans […]
Date: September 17th, 2020
The client is admitted to the emergency department with a pneumothorax. The nurse anticipates that the client will be experiencing: 1. Dyspnea 2. Eupnea 3. Fremitus 4. Orthopnea ANSWER ANS: 1 The client with a pneumothorax (collapsed lung) will exhibit dyspnea and pain. Eupnea is normal, easy breathing. It would not be expected in […]
Date: September 17th, 2020
A client, after being taught of the clinical manifestations of inflammation to enable early detec-tion of a complication of a surgical wound states, “I will look at the wound four times a day and tell my surgeon if it looks red or swollen.” Her statement is an example of: 1. Attitudes 2. Application 3. Analysis […]
Date: September 17th, 2020
