The nurse is visiting the client who has a nursing diagnosis of urinary retention. Upon assessment the nurse anticipates that this client will exhibit: 1. Severe flank pain and hematuria 2. Pain and burning on urination 3. A loss of the urge to void 4. A feeling of pressure and voiding of small amounts […]
An older Chinese client experienced a stroke that left him with right-sided weakness and now refuses to participate in physical therapy until his son is present. The nurse should initially inter-pret this behavior as: 1. A sign of post-stroke depression 2. An illustration of cultural collectivism 3. A response to the therapy-induced pain 4. An […]
Which of the following research approaches is an example of an exploratory type of research? 1. Establishing facts and relationships of past events 2. Testing how well a program, practice, or policy is working 3. Refining a hypothesis on the relationships among phenomena 4. Portraying the characteristics of persons, situations, or groups ANSWER ANS: […]
A client is diagnosed as having a negative nitrogen balance. What should the nurse instruct the client about this finding? 1. Discuss ways to reduce protein in the diet. 2. Review how to limit carbohydrates in the diet. 3. Discuss ways to increase protein in the diet. 4. Analyze reasons why fats should be limited […]
Which of the following best describes the primary nursing role regarding a client’s consent to surgery immediately before surgery? 1. Explaining the procedure to the client in a fashion that is easily understood 2. Placing the signed consent in the client’s medical record 3. Ensuring that the client understands the possible risks of the procedure […]
An example of a cognitive nursing skill is: 1. Providing a soothing bed bath 2. Communicating with the client and family 3. Giving an injection to the client per the physician’s orders 4. Recognizing the potential complications of a blood transfusion ANSWER ANS: 4 Cognitive skills involve the application of nursing knowledge. Understanding normal […]
When teaching a pediatric client’s parents about administering his medication at home, the nurse states that the most accurate device for measuring the liquid medication is: 1. Cup 2. Teaspoon 3. Oral plastic disposable syringe 4. Dropper ANSWER ANS: 3 A plastic, disposable syringe is the most accurate device for preparing liquid doses, especially […]
The primary reason an older adult client is more likely to develop a pressure ulcer on the elbow as compared to a middle-age adult is: 1. A reduced skin elasticity is common in the older adult 2. The attachment between the epidermis and dermis is weaker 3. The older client has less subcutaneous padding on […]
A Hispanic client is diagnosed with inoperable brain cancer. The client’s wife insists that any discussion about treatment options be postponed until all local family members are present. The nurse correctly views this as: 1. The family’s attempt to facilitate a “good death” for the client 2. An invasion of the client’s right of confidentiality […]
The nurse is discussing the physical changes that occur during puberty with a group of 11- to 12-year-olds. The most therapeutic statement the nurse could make directed toward minimizing their anxiety would be: 1. “You’ll be fine. Everyone survives puberty.” 2. “Don’t worry because everyone goes through the changes.” 3. “Don’t be afraid to talk […]