A client comes into the emergency department (ED) with a productive cough, audible coarse crackles, elevated temperature of 102.3°F, chills, and body aches. The nurse identifies the problem as respiratory compromise. The nurse is using which of the following? 1. Deductive reasoning 2. Inductive reasoning 3. Socratic questioning 4. Critical analysis ANSWER Correct Answer: […]
A client has requires a mid-abdominal surgical incision which necessitates a sterile dressing. An appropriate intervention for the nurse to implement in maintaining sterile asepsis is to: 1. Put sterile gloves on before opening sterile packages 2. Discard packages that may have been in contact with the area below waist level 3. Place the cap […]
Martha Rogers’ theory has a framework for practice that includes the: 1. Manipulation of the client’s environment 2. 21 nursing problems within 4 major client needs 3. Seven categories of behavior and behavioral balance 4. Unitary human being in continuous interaction with the environment ANSWER ANS: 4 The framework for practice according to Martha […]
An Asian-American client will accept hygiene care from only family members. The cultural origin of this behavior is most likely: 1. Valued privacy 2. Female modesty 3. Interdependency 4. Mistrust of strangers ANSWER ANS: 3 In collectivistic cultures that value group reliance and interdependence, such as traditional Asians, Hispanics, and Africans, caring behaviors require […]
A nurse is caring for a client who has unstable cardiac dysrhythmias. The client has orders for medications, one of which is by oral route, the other by IV delivery. The nurse realizes that the IV route would be fastest, but is also concerned about the side effects that this drug may produce and the […]
The nurse is planning care for a client who is experiencing dementia. What essential concept should the nurse consider for this planning? 1. Background noise such as music will keep this client calm. 2. Activities should be scheduled at the same time each day. 3. Pain mediation will increase dementia. 4. It is important to […]
A client is prescribed a medication that is a blend of an opioid analgesic with an NSAID. The nurse realizes that this medication will have which effects on the client? 1. Encourage the development of tolerance. 2. Encourage the development of addiction. 3. Maximize pain control while minimizing toxicity. 4. Maximize pain control while minimizing […]
The nurse is observing the new staff member work with the client. Of the following activities, which one has the greatest possibility of contributing to a nosocomial infection and requires cor-rection? 1. Washing hands before applying a dressing 2. Taping a plastic bag to the bed rail for tissue disposal 3. Placing a Foley catheter […]
During the admission interview a client shares with the nurse that she is allergic to latex. The nurse’s immediate response is to: 1. Place an allergic to latex sticker on the client’s Kardex 2. Verbally notify the staff of the client’s allergy to latex 3. Notify the client’s health care provider of the client’s allergy […]
A client is discharged following a heart attack. In using the Stages of Health Behavior Change as a guide, the nurse recognizes that the client is most likely to begin to accept information on diet changes and an exercise program during which stage? 1. Action 2. Preparation 3. Maintenance 4. Contemplation ANSWER ANS: 4 […]
