When a client goal is unmet, which of the following nursing actions is most appropriate? 1. Reevaluation of the original client goal 2. Selection of new but appropriate interventions 3. Evaluation of the client’s ability and motivation to be compliant 4. Repetition of the entire nursing process regarding the nursing diagnosis ANSWER ANS: 4 […]
When a client newly diagnosed with type 2 diabetes mellitus selects a lunch menu that correlates with the number of carbohydrates he is allowed for that meal, this is an example of: 1. Cognitive learning 2. Affective learning 3. Impaired learning 4. Psychomotor learning ANSWER ANS: 1 Cognitive learning includes all intellectual behaviors and […]
In completing an assessment on an assigned client, the nurse obtains important information for planning nursing care. Which of the following client needs should take priority? 1. Difficulty breathing 2. Financial problems 3. A nutritional deficit 4. An impending divorce ANSWER ANS: 1 Difficulty breathing would be the highest priority client need. In general, […]
A client enters a neighborhood walk-in clinic reporting the symptoms of “a head cold.” When the health care provider does not prescribe an antibiotic, the client asks the nurse to explain “why not.” The nurse’s most appropriate response is: 1. “Antibiotics aren’t usually necessary for colds, and they are really very expensive if you don’t […]
The client has been experiencing right flank and lower back pain. Which of the following labora-tory values would be most desirable for the nurse to obtain based on the client’s assessment? 1. Serum potassium 2. Serum sodium 3. Serum magnesium 4. Serum calcium ANSWER ANS: 4 Flank pain and lower back pain may be […]
The nurse is providing discharge instructions to a client prescribed an opioid medication. What should the nurse suggest to decrease the risk of constipation with this medication? 1. Take an antihistamine three times per day. 2. Drink 6 to 8 glasses of water per day. 3. Assess respiratory rate before taking medication. 4. Assess heart […]
A nurse is using a holistic approach when caring for a client. To incorporate all of the factors that may influence the client, which of the following nursing responses is most therapeutic? 1. “I would like you to perform this exercise once a day.” 2. “Your physician has left orders that you are to follow.” […]
Based on the following information, what would the nurse identify as the most appropriate nurs-ing diagnosis? The client has abnormal breath sounds, dyspnea, an intermittent cough, and varia-ble respiratory rate. 1. Risk for injury 2. Excess fluid volume 3. Ineffective airway clearance 4. Impaired spontaneous ventilation ANSWER ANS: 3 The defining characteristics of abnormal […]
The nurse is identifying diagnoses appropriate for a client recovering from cataract surgery who lives alone. Which diagnosis would be the priority for this client? 1. Social Isolation 2. Risk for Impaired Skin Integrity 3. Disturbed Sensory Perception 4. Risk for Injury ANSWER Correct Answer: 4 Rationale 1: Social Isolation would be appropriate for […]
A nurse researcher has completed a study involving the use of intravenous analgesics for postsur-gical discomfort. The description of the 16 clients used for the study would best be written in which part of the research report? 1. Results section 2. Methods section 3. Discussion section 4. Introduction section ANSWER ANS: 2 A description […]
