When the oncology unit’s interdisciplinary team meets every Monday morning at 0830 to discuss the unit’s individual clients, the group is best displaying: 1. Staff education 2. Collaborative practice 3. Team communication 4. Nursing shared governance ANSWER ANS: 2 Collaboration of health care team members is required to help meet the complex needs of […]
The nurse is preparing to conduct a pain assessment. What should the nurse include in this assessment? 1. Duration 2. Location 3. Intensity 4. Etiology 5. Neurology ANSWER Correct Answer: 1, 2, 3, 4 Rationale 1: Pain may be described in terms of duration. Rationale 2: Pain may be described in terms of location. […]
The nurse has determined that a client reporting general fatigue is experiencing activity intoler-ance. Which of the following assessment findings, observed after the client ambulates to the bathroom, best confirms this nursing diagnosis? 1. Dyspnea 2. Diaphoresis 3. Hypotension 4. Mental confusion ANSWER ANS: 1 Further review of assessed defining characteristics (e.g., abnormal heart […]
The nurse determines that a terminally ill client is nearing death. What did the nurse assess to make this clinical decision? 1. Diarrhea 2. Muscle spasms 3. Slow, weak pulse 4. Decreased blood pressure 5. Cyanosis of the extremities ANSWER Correct Answer: 3, 4, 5 Rationale 1: Diarrhea is not a clinical manifestation of […]
The client is unable to perform self-care for the hair. The nurse is aware that which of the follow-ing is accurate when performing hair care? 1. Brushing the hair distributes the natural oils evenly. 2. Using a hot comb may be very helpful for straight and oily hair. 3. Very tight braids keep the hair […]
Discharge planning for clients begins: 1. After a diagnosis has been established 2. Once the long-term needs are identified 3. Upon admission to a health care facility 4. When the acute care therapies are completed ANSWER ANS: 3 Discharge planning should begin at the time of admission to the hospital, using the strengths and […]
A client recovering from back surgery is refusing pain medication for fear of becoming addicted. What should the nurse say to the client? 1. “I understand.” 2. “There are ways to treat addictions to pain medications.” 3. “If the medication is taken to treat pain, you will not become addicted to it.” 4. “All pain […]
Nurses are caring for clients from a variety of cultures primarily as a result of: 1. Increased ease of travel and mobility 2. Political unrest in many foreign countries 3. Increased incidence of contagious diseases 4. Poor health care in underdeveloped countries ANSWER ANS: 1 Because the world’s population is more mobile, both immigration […]
When a client shares with the nurse that she/he has be researching her/his condition on various web sites, the nurse responds most responsively when stating: 1. “Information from the Internet isn’t always accurate.” 2. “It’s best to check this information with your physician.” 3. “Bring your information to the clinic so we can go through […]
The client is febrile, and the temperature needs to be reduced. The nurse anticipates that treat-ment will include: 1. An alcohol and water bath 2. Ice packs to the axillae and groin 3. Tepid, plain water sponge down 4. Application of a cooling blanket ANSWER ANS: 4 Blankets cooled by circulating water delivered by […]
