The nurse is counseling a 65-year-old female client on her use of mineral oil as a laxative. One of the most important things that the nurse can share with the client is how mineral oil can cause the decreased absorption of which of the following vitamins? 1. Vitamin C 2. Niacin 3. Vitamin D 4. […]
The primary outcome for information collected during a nursing physical examination should be to: (Select all that apply.) 1. Establish the client’s baseline of function 2. Evaluate both nursing and client outcomes 3. Identify any changes in the client’s health status 4. Provide rationale for client admission or discharge 5. Identify appropriate nursing diagnoses to […]
The nurse suspects that the client may have vascular disease. During the examination, the nurse is alert to the client’s complaints of: 1. Headache, dizziness, and tingling of body parts 2. Diplopia, floaters, and headaches 3. Leg cramps, numbness of extremities, and edema 4. Pain and cramping in the lower extremities relieved by walking […]
During the physical examination, the client tells the nurse that he has been told he has myopia. The nurse expects to find that the client: 1. Is nearsighted 2. Has decreased peripheral vision 3. Has diminished night vision 4. Experiences more glare, flashes, and floaters ANSWER ANS: 1 Myopia is nearsightedness. Peripheral vision is […]
The nurse is developing strategies for the relief of menstrual cramping to teach a group of young clients. What should be the focus of these strategies? 1. Increase of blood flow to the uterine muscle 2. Avoidance of uterine contraction 3. Minimization of menstrual flow 4. Decrease in estrogen production ANSWER Correct Answer: 1 […]
The client has a 6-inch laceration on his right forearm. The arm develops an infection. Which of the following is a sign of an acute inflammatory process? 1. A blanching of the skin 2. A decrease in temperature at the site 3. A decrease in the number of white blood cells 4. A release of […]
The client is on the orthopedic unit following back surgery. He states, “I feel like I can’t do any-thing anymore—and I won’t be able to continue my landscaping business.” This is predominantly an example of a problem in which of the following components of self-concept? 1. Body image 2. Self-esteem 3. Identity 4. Role […]
While discussing discharge plans for a client who recently experienced a stroke that resulted in right-sided weakness and communication problems, the daughter shares with the nurse that she has concerns regarding her role as caregiver. 1. Agree that her concerns are well-founded 2. Suggest that she consider home health aides 3. Offer to arrange for […]
Nursing diagnoses are different from medical diagnoses and collaborative problems in ___________, ___________ , and ___________. Fill in the blank with the appropriate word. ANSWER Correct Answer: Orientation, duration, and nursing focus
The nurse is performing a lung assessment on a client with suspected pneumonia. Which finding should the nurse report to the physician immediately? 1. Chest symmetrical 2. Breath sounds equal bilaterally 3. Asymmetrical chest expansion 4. Bilateral symmetric vocal fremitus ANSWER Correct Answer: 3 Rationale 1: Symmetrical chest expansion is an expected finding. Rationale […]