An average-size male client has right-sided hemiparesis. The nurse helps this client to walk by: 1. Standing at his left side and holding his arm 2. Standing at his left side and holding one arm around his waist 3. Standing at his right side and holding his arm 4. Standing at his right side and […]
Date: September 16th, 2020
The nurse is preparing to discuss postpartum depression as a part of discharge teaching with the parents of a newborn. Which of the following nursing actions would be most therapeutic regard-ing early detection of this postpartum condition? 1. Helping the couple understand the importance of social interaction with other adults 2. Providing the couple with […]
Date: September 16th, 2020
The nurse realizes that goals should be singular in focus primarily because: 1. The nurse will find it difficult to modify the plan of care if the goals are not met. 2. The client may not have the strength to accomplish multiply behavioral changes. 3. The client may have difficulty focusing on more than one […]
Date: September 16th, 2020
A 44-year-old male client was placed on a daily low-dose aspirin regimen by his health care pro-vider following a recent diagnosis of hypertension and periodic atrial fibrillation. The client is currently hospitalized with renal stones. As the nurse is admitting the client, he shares that he has been very tired. The nurse gathers addi-tional data […]
Date: September 16th, 2020
A client is newly diagnosed with diabetes mellitus. The nurse identifies a nursing diagnosis of knowledge deficient related to new diagnosis and treatment needs. The most appropriate outcome statement based upon the established criteria is the following: 1. “Client will perform glucose measurements often.” 2. “Client will appear less anxious regarding diagnosis.” 3. “Urinary output […]
Date: September 16th, 2020
When modifying a care plan to meet a client whose status has changed significantly over the past few days, the nurse should: 1. Redevelop the entire client care plan 2. Focus on changing the nursing diagnoses and goals 3. Perform a complete reassessment of all client factors 4. Add more nursing interventions from a standardized […]
Date: September 16th, 2020
The nurse has instructed an overweight client to follow a 2,000-calorie diet by substituting foods considered low in calories for those higher in calories. How should the client interpret the food label to decide if a food is low in calories? 1. The product label will state “lighter” or “reduced calories.” 2. The Nutrition Facts […]
Date: September 16th, 2020
Older adult clients may react differently to infectious processes and a nurse suspects that her older adult client may be experiencing hypostatic pneumonia. The nurse must be alert to atypical signs and symptoms, such as: 1. Hypotension 2. Confusion 3. Erythema 4. Chills ANSWER ANS: 2 An infection in older adults may not present […]
Date: September 16th, 2020
When teaching basic infant safety to the parents of a 3-month-old, the nurse should emphasize: 1. Placing gates at stairways 2. Keeping bathroom doors closed 3. Giving large, hard teething biscuits 4. Removing feeding bibs at bedtime ANSWER ANS: 4 Bibs should be removed at bedtime to avoid suffocation. Placing gates or fences at […]
Date: September 16th, 2020
A client shares with the nurse that they have, “almost reached the goal of smoking only one-half pack of cigarettes a day.” The best example of a nursing intervention to correct this unmet out-come is: 1. Discuss with the client the desire to comply with the ordered therapy 2. Suggest that the client use another […]
Date: September 16th, 2020
