The nurse determines that a client has active immunity to a microorganism. What did the nurse assess that caused the client to develop this type of immunity? 1. Becoming ill with tetanus and receiving tetanus toxoid 2. Having chickenpox 3. Receiving a rabies shot after being bitten by a rabid dog 4. Receiving an injection […]
The appropriate amount of fluid to prepare for an enema to be given to an average-size school-age child is: 1. 150 to 250 mL 2. 250 to 350 mL 3. 300 to 500 mL 4. 500 to 750 mL ANSWER ANS: 3 The appropriate amount of fluid to prepare for an enema to be […]
A client is prescribed antiembolic stockings. How should the nurse assess the skin on the client’s legs? 1. Defer the assessment because the stockings are in place. 2. Remove the stockings for this assessment. 3. Review the morning assessment, but don’t repeat it unless a problem occurs. 4. Assess the skin when the client removes […]
During the assessment of a client’s breasts, the nurse finds both breasts rounded, slightly unequal in size, skin smooth and intact, and nipples without discharge. What should the nurse do next? 1. Notify the charge nurse. 2. Notify the physician. 3. Document the findings in the nurse’s notes as normal. 4. Document the findings in […]
The nurse is preparing a presentation on alternative therapies for a community group. The nurse should identify that herbal therapies are: 1. Approved by the Food and Drug Administration, under the Food, Drug, and Cosmetic Act 2. Sold as medicines in most stores because they lack major side effects 3. Allowed to be packaged as […]
When assessing cancer survivors regarding the stressors of cancer, the nurse should first ask cli-ents: 1. If they feel they are stressed by the cancer 2. How they believe cancer has affected their life 3. What they are doing to cope with the stress of having experienced cancer 4. What assistance they need to successfully […]
The nurse educator appropriately impacts the learning of nursing students when using computer technology to: 1. Assign distance learners to conduct a research of current evidence-based articles on caring for the diabetic client. 2. Expect that notification of clinical absences be provided by e-mail. 3. Require a clinical group to make daily reflective entries in […]
A client diagnosed with a chronic illness tells the nurse that the spouse is not helping the client with household activities, which is causing stress. Which diagnosis should the nurse identify as being appropriate for the client at this time? 1. Defensive Coping 2. Disabled Family Coping 3. Compromised Family Coping 4. Ineffective Coping […]
The nurse suspects that a client’s body is attempting to correct an acid–base imbalance. How will this imbalance be corrected? 1. Slow but efficient respiratory regulation will occur. 2. Primary regulation is through GI system losses. 3. Kidney regulation is powerfully effective. 4. The cardiovascular system is the major buffer. ANSWER Correct Answer: 3 […]
Which of the following statements accurately reflects data that the nurse should use in planning care to meet the needs of the older adult? 1. 50% of older adults have two chronic health problems. 2. Cancer is the most common cause of death among older adults. 3. Nutritional needs for both younger and older adults […]
