Which of the following objective assessment findings are likely to be seen in clients who have successfully implemented relaxation techniques? (Select all that apply.) 1. Slower respirations 2. Lower blood sugar levels 3. Decreased heart rate 4. Lower blood pressure 5. Decreased deep reflexes 6. Warmer skin temperature ANSWER ANS: 1, 3, 4, 6 […]
On examining a client’s fingernails, the nurse notes that they are excessively dry. The nurse knows that this can be caused by which of the following? 1. Fungal nail infections 2. Dry climates 3. Washing dishes by hand 4. Polishing nails, and using polish remover ANSWER ANS: 4 Ask women whether they frequently polish […]
The nurse caring for a morbidly obese client who is recovering from abdominal surgery recogniz-es that this client is at risk for respiratory complications specifically caused by: (Select all that ap-ply.) 1. Poor muscle tone, resulting in decreased respiratory muscle function 2. Increased risk for infection, resulting in increased oxygen requirements 3. Deceased lung volume […]
A homeless client has presented in the ED with a bacterial infection in a hand wound. The nurse has cleansed and dressed the wound, and an initial dose of an antibiotic has been administered. The client will need the antibiotic prescription filled and a dressing change in 3 days. In order to ensure that the […]
The student nurse understands that clustering data comes with experience and recognizing cues. The best way for this student to recognize patterns or cues in the data is to: 1. Depend on knowledge gained from peers’ experiences. 2. Work with seasoned and experienced nurses and learn from them. 3. Take assessment notes and utilize information […]
The nurse caring for clients in an acute care facility recognizes that attending to the safety of each client is most likely to result in: (Select all that apply.) 1. Freedom from illness 2. A shorter hospital stay 3. Attention to the basic human needs 4. A well-founded sense of well-being 5. Preservation of the […]
When executing a research project directed towards identifying evidence-based practice, a specific progression of steps is recommended. While the steps may loop back to earlier steps as needed, please review the following steps and place them in the intended progression order: 1. Design practice change. 2. Assess the need for a change in practice. 3. […]
An elderly client in a nursing home describes to the nurse that they are lonely. Based on this in-formation, the nurse believes the patient may benefit from which of the following complementary therapies? 1. Therapeutic Touch 2. Chinese medicine 3. Dance therapy 4. Guided imagery ANSWER ANS: 1 Touch helps enhance self-esteem and sense […]
A client’s insurance company has coverage for DME. Which of the following client needs would be covered under this clause? 1. Dressings and bandages 2. Medications 3. A hospital bed 4. Visits by the home health nurse ANSWER Correct Answer: 3 Rationale 1: Supplies that the client uses and cannot be reused is not […]
The nurse must lift a 15-pound box of supplies from a low shelf on the supply cart to a table. Which technique should the nurse use to protect the back? 1. Place the feet together to provide a strong base of support. 2. Flex the knees to lower the center of gravity. 3. Face the […]
