The nursing assistive personnel reports to the nurse that the client refuses to wear deodorant after the bath. The nurse’s best answer to the nursing assistive personnel is: 1. “I noticed that the client really had bad body odor when I assessed her.” 2. “The client is Eastern European; some social groups don’t wear deodorant.” […]
A client with a history of chronic back pain is questioning the need to “keep asking for pain medication,” fearing that he will be viewed as being weak by his family. The most therapeutic nursing response to this client would be: 1. “Chronic back pain is very difficult to deal with; utilize the pain medication […]
The nurse is aware that clients with chronic alterations in kidney function suffer from insufficient amounts of: 1. Vitamin A 2. Vitamin D 3. Vitamin E 4. Vitamin K ANSWER ANS: 2 The kidneys play a role in calcium and phosphate regulation by producing a substance that con-verts vitamin D into its active form. […]
What criteria should the nurse use to evaluate to determine if an infant’s regurgitation, or spitting up, should be further investigated? 1. How often the baby spits up 2. How much the baby spits up at a time 3. If the baby is gaining weight adequately 4. The consistency of the regurgitated matter ANSWER […]
In reviewing changes in the older adult, the nurse recognizes that which of the following state-ments related to cognitive functioning in the older client is true? 1. Delirium is usually easily distinguished from irreversible dementia. 2. Therapeutic drug intoxication is a common cause of senile dementia. 3. Reversible systemic disorders are often implicated as a […]
The nurse is discussing breast-feeding with a pregnant mother who is being seen for a routine ob-stetrical visit. Which of the following should the nurse include as positive effects/outcomes of breast-feeding? (Select all that apply.) 1. Good source of antibodies 2. Convenient source of nutrition 3. Economical source of nutrients 4. Minimal digestive system upsets […]
There is a different focus for the client with hospice nursing care. The nurse is aware that client care provided through a hospice is: 1. Designed to meet the client’s individual wishes, as much as possible 2. Aimed at offering curative treatment plans intended for client recovery 3. Involved in teaching families and/or caregivers to […]
The client is scheduled to receive Coumadin (an anticoagulant) at 9:00 AM. His morning labora-tory results show him to have a high partial thromboplastin time (PTT). His nurse decides to withhold the Coumadin. Which step of the implementation process is s 1. Reassessing the client 2. Stating an expected outcome 3. Revising the nursing diagnosis […]
The client states that she needs to exercise regularly, watch her weight, and reduce her fat intake. This demonstrates that the client: 1. Values health promotion activities 2. Believes she will not become sick 3. Believes she will have a heart attack 4. Has unrealistic expectations for herself ANSWER ANS: 1 A value is […]
The nurse is planning care for a client during the postoperative period. What should the nurse identify as the goal of care for this client? 1. Provide necessary preoperative teaching. 2. Assist the client to achieve the most optimal health status possible. 3. Ensure client safety. 4. Maintain an aseptic environment. ANSWER Correct Answer: […]
