A client who receives general or regional anesthesia in an ambulatory surgery center: 1. Has to meet identified criteria in order to be discharged home 2. Will remain in the phase I recovery area longer than a hospitalized client 3. Is allowed to ambulate as soon as being admitted to the recovery area 4. Is […]
Date: September 16th, 2020
A client receiving chemotherapy is experiencing stomatitis. The nurse advises the client to use: 1. A commercial mouthwash 2. An alcohol and water mixture 3. Normal saline rinses 4. A firm toothbrush ANSWER ANS: 3 Normal saline rinses (approximately 30 mL) on awaking in the morning, after each meal, and at bedtime can effectively […]
Date: September 16th, 2020
The nurse is making a client’s bed. What safety measure should the nurse implement at this time? 1. Begin at the head and move toward the foot, loosening bottom linens. 2. Miter corners at the head of the bed. 3. Place the soiled sheet in a laundry bag. 4. Prepare the client. ANSWER Correct […]
Date: September 16th, 2020
The client has been informed that he can be discharged once he can irrigate his colostomy inde-pendently. The client requests the nurse to observe his irrigation technique. Which of the follow-ing learning motives is the client displaying? 1. Physical need 2. Social activity 3. Task mastery 4. Evaluation stance ANSWER ANS: 3 Task mastery […]
Date: September 16th, 2020
The odor from a hospitalized client’s draining wound permeates the room and is very overwhelming and distracting to the client and the staff. What intervention would be most helpful? 1. Spray the room routinely with a floral room spray. 2. Instill a vinegar solution into the wound. 3. Keep the wound dressing dry and clean. […]
Date: September 16th, 2020
When a nurse considers the possible positive effect a treatment will have against the pain it may cause the client, the nurse is displaying: 1. Justice 2. Fidelity 3. Beneficence 4. Nonmaleficence ANSWER ANS: 4 Nonmaleficence is the avoidance of harm or hurt. In health care, ethical practice involves not on-ly the will to […]
Date: September 16th, 2020
A nurse that has the knowledge of the biocultural history of clients and aware that individuals with a greater potential for and incidence of hypertension are: 1. Asians 2. Hispanics 3. Native Americans 4. African Americans ANSWER ANS: 4 Malignant hypertension is found more frequently in African Americans. Lactose intolerance is frequently observed among […]
Date: September 16th, 2020
Which of the following situations/statements best depicts Gould’s fourth theme of adult devel-opment? 1. “When I made that decision, I didn’t expect it to turn out like it did.” 2. “I have to take the opportunity to be my own boss and not rely on others.” 3. “I think you can do anything if only […]
Date: September 16th, 2020
An older client who refuses medication for pain is irritable and unable to sleep. What should the nurse explain to the client to encourage the use of pain medication? 1. There are high-dose medications that will eradicate the pain. 2. The lack of pain control is causing the inability to sleep. 3. The lack of […]
Date: September 16th, 2020
A client diagnosed with an infectious disease asks the nurse how the infection “got inside” her body. Which responses would be appropriate for the nurse to make? 1. “It depends on the number of organisms present to cause a disease.” 2. “It depends on how aggressive the organisms are to cause a disease.” 3. “It […]
Date: September 16th, 2020
