The nurse is performing a problem-focused assessment when the client reports pain in his left shoulder. Which of the following nursing questions has priority when determining the nature of the pain? 1. “What makes the pain worse?” 2. “When did you first notice the pain?” 3. “What do you do to lessen the pain?” 4. […]
Date: September 17th, 2020
A client is receiving oxygen by nonrebreather mask, but the bag is deflating on inspiration. What action should be taken by the nurse? 1. Turn the client to the left side. 2. Increase the percentage of oxygen being delivered. 3. Check for an airtight seal between the client’s face and the mask. 4. Increase the […]
Date: September 17th, 2020
A nurse is changing the dressing and accidentally drops the packing onto the client’s abdomen. The client has a large, deep abdominal incision that is packed with sterile half-inch packing and covered with a dry 4 4 gauze. The nurse should: 1. Add alcohol to the packing and insert it into the incision 2. […]
Date: September 17th, 2020
The fundamental goal for the development of a protocol for care of a client who has had a myo-cardial infarction client is to: 1. Implement care that has its basis in evidence-based practice 2. Produce care plans that are specific to the individual client needs 3. Improve the standard of care provided to the clients […]
Date: September 17th, 2020
The nurse has completed an assessment and found that the client has “an activity and exercise abnormality.” This type of wording indicates that which of the following organizing formats has been used? 1. Review of systems 2. Nursing health history 3. Gordon’s functional health patterns 4. Biographical information database ANSWER ANS: 3 Utilizing Gordon’s […]
Date: September 17th, 2020
A nurse is completing a plan of care for a client. The statement “client will be able to walk 10 feet, twice a day without shortness of breath” is which part of the nursing process (in comparison to the decision-making process)? 1. Assess 2. Diagnose 3. Plan 4. Evaluate ANSWER Correct Answer: 3 Rationale: […]
Date: September 17th, 2020
The nurse, preparing to discharge an 81-year-old client from the hospital, recognizes that the ma-jority of older adults: 1. Require institutional care 2. Have no social or family support 3. Are unable to afford any medical treatment 4. Are capable of taking charge of their own lives ANSWER ANS: 4 The majority of older […]
Date: September 17th, 2020
The family of a dying client has informed the nurse that their religion requires that a ritual bath be given by members of the faith after death. Because the hospital unit is very busy and there is an acute need for every bed, how should the nurse respond to this request? 1. Notify the mortuary […]
Date: September 17th, 2020
The nurse recognizes that values clarification interventions are beneficial for the client when: 1. The client and nurse have different beliefs 2. The client is experiencing a values conflict 3. The nurse is unsure of a client’s personal values 4. The client has chosen to reject the normal values ANSWER ANS: 2 Values clarification […]
Date: September 17th, 2020
Which of the following statements made by a terminally ill client reflects the best understanding of the purpose of a living will? 1. “It will make sure my wishes are respected.” 2. “My family won’t be burdened with making those hard decisions.” 3. “I don’t want strangers making those kinds of decisions for me.” 4. […]
Date: September 17th, 2020
