A client newly diagnosed with type 2 diabetes mellitus asks the nurse to explain, “what the di-agnosis means.” Which of the following rationales best supports the nurse’s determination that the client has knowledge deficit rather than a readiness for enhanced knowledge? 1. The client initiated the question. 2. This is a new diagnosis for the […]
The client is taking medications to promote defecation. Which of the following instructions should be included by the nurse in the teaching plan for this client? 1. Increased laxative use often causes hyperkalemia. 2. Salt tablets should be taken to increase the solute concentration of the extracellu-lar fluid. 3. Emollient solutions may increase the amount […]
A 70-year-old client is discussing his recent difficulty with having regular bowel movements while on a cross-country bus tour with a senior citizens’ group. Which of the following assessment questions is directed toward the most likely cause of the problem? 1. “Did the bus stop frequently so you could get up and walk around?” 2. […]
Regarding a client who is an Orthodox Jew and maintains a Kosher diet, the nurse will make sure that the client’s menu does not include: 1. Beef 2. Eggs 3. Milk 4. Shellfish ANSWER ANS: 4 Jewish clients who follow a Kosher diet will avoid meat from carnivores, pork products, and fish without scales […]
A client in her first trimester of pregnancy asks the nurse about how the baby is growing. The nurse responds correctly by telling the client that: 1. “The sex of the baby can be determined.” 2. “There is a fine hair that covers the body.” 3. “Fingers and toes are differentiated clearly.” 4. “The organ […]
Which of the following statements best illustrates the deontological ethical theory? 1. “I believe this disease was allowed by a supreme being.” 2. “He has become a stronger individual through experiencing the loss of his father.” 3. “Under no circumstances would it ever be right for a person to stop CPR efforts.” 4. “The chemotherapy […]
The twentieth century is recognized for which of the following nursing concepts? 1. Code of Nursing Ethics 2. Hospital-based nursing care 3. Specialized nursing textbooks were adopted. 4. Formalized university-based nursing education ANSWER ANS: 4 In the early twentieth century a movement toward a scientific, research-based defined body of nursing knowledge and practice was […]
The inflammatory stage of healing is characterized by: 1. Throbbing pain 2. Granulation tissue 3. Wound contraction 4. Collagen scarring ANSWER ANS: 1 Localized redness, edema, warmth, and throbbing pain are characteristics of the inflammatory stage of healing.
The client tells the nurse, “I don’t know what to do. The treatment plan my physician has suggested is against some of my religious beliefs.” What nursing diagnosis problem statement should the nurse identify as appropriate for this client? 1. Ineffective Coping 2. Decisional Conflict 3. Impaired Religiosity 4. Anxiety ANSWER Correct Answer: 2 […]
The nurse is identifying activities and skills to delegate to unlicensed assistive personnel (UAP). Which action can the nurse safely delegate? 1. Provide oral fluids to a newly extubated client. 2. Irrigate the indwelling urinary catheter of a client recovering from prostate surgery. 3. Apply a wrist restraint to a client. 4. Administer oral pain […]
