Which of the following safety measures is most important for the nurse to implement for a hos-pitalized client with a visual impairment? 1. Orient the client to the room. 2. Open the window blinds to let in light. 3. Keep the client’s door to the room open so that he or she can be visualized. […]
Date: September 15th, 2020
Which of the following actions is the best example of a nurse exercising nursing authority? 1. Assigning team responsibilities to individual team members 2. Evaluating a team member’s ability to perform a bladder scan 3. Readjusting a client’s turning schedule to provide hourly repositioning 4. Determining that a client will not be ambulated based on […]
Date: September 15th, 2020
A cognitively impaired client spends hours a day involuntarily wringing her hands. Which of the following interventions is the most therapeutic as a means of minimizing this client’s risk for fric-tion damage to her hands? 1. Placing thin cotton mitts on her hands 2. Frequently distracting her with conversation 3. Regularly reminding her to stop […]
Date: September 15th, 2020
Which of the following nursing actions is most directly aimed at affording a client confidential treatment of his or her medical information while minimizing delay in accessing needed medical and nursing care? 1. Notifying the client of the institution’s privacy policy 2. Denying nonessential personal access to the client’s medical records 3. Acquiring the client’s […]
Date: September 15th, 2020
An older client has become very confused since being hospitalized earlier in the week. Prior to this illness, the client exhibited clear thought processing and was able to maintain an independent lifestyle. How should the nurse document this mental state? 1. As reversible confusion 2. As sundown syndrome 3. As delirium 4. As dementia […]
Date: September 15th, 2020
The nurse anticipates the gender-related needs of the clients and tries to accommodate those needs whenever possible. A female nurse is arranged for the female client who practices: 1. Sikhism 2. Judaism 3. Hinduism 4. Buddhism ANSWER ANS: 1 Females are to be examined by females according to the Sikhism religion. Followers of Judaism […]
Date: September 15th, 2020
Which of the following interventions is mostly likely to minimize the cause of a pressure ulcer on the left buttock of a client who is comatose? 1. Turn and position the client at least every 2 hours. 2. Use a lift sheet when moving the client up in the bed. 3. Change wet, soiled clothing […]
Date: September 15th, 2020
The nurse is preparing to remove soiled gloves. What action should the nurse take first? 1. Drop the gloves into the appropriate waste receptacle. 2. Ease the fingers into the gloves. 3. Grasp the outside of the nondominant glove. 4. Hook the bare thumb inside the other glove. ANSWER Correct Answer: 3 Rationale 1: […]
Date: September 15th, 2020
After hearing the diagnosis of cancer, a client becomes withdrawn and refuses to talk with friends or family. The nurse realizes this client is demonstrating which type of reaction to stress? 1. Stimulus 2. Response 3. Combination 4. Transaction ANSWER Correct Answer: 4 Rationale 1: Stress is defined as a stimulus, a life event, […]
Date: September 15th, 2020
Initially, the nurse should begin by doing what in completing a client’s family assessment? 1. Collecting health data from all the family members 2. Testing the family’s ability to cope with normal stressors 3. Evaluating the family’s interpersonal communication patterns 4. Determining the client’s definition of familiar structure and attitudes ANSWER ANS: 4 The […]
Date: September 15th, 2020
