The nurse is working with older adult clients in an extended care facility. To enhance the clients’ gustatory sense, the nurse should: 1. Mix foods together 2. Assist with oral hygiene 3. Provide foods of similar texture and consistency 4. Make sure foods are extremely spicy ANSWER ANS: 2 Good oral hygiene keeps the […]
During labor, it becomes apparent that the male infant will survive only a short time after birth. Because this baby’s parents are Catholic, what planning should the nurse consider? 1. Arrange to have the baby circumcised immediately after birth. 2. Ask the hospital chaplain to be present in the delivery room. 3. Ask the nursing […]
A client reports the need to urinate during the night and then not being able to fall back asleep. The nurse should document this assessment finding as which factor that influences sleep? 1. Illness 2. Stimulant 3. Diet 4. Lifestyle ANSWER Correct Answer: 1 Rationale 1: The need to urinate during the night disrupts […]
Which of the following statements made by the nurse shows the most informed understanding of the role of family in the client’s postoperative recovery? 1. “The family will be the ones you will be dealing with regarding postoperative needs.” 2. “When the family is more relaxed about caring for the client, the client is more […]
The nurse has delegated the task of ambulating a client who is experiencing activity intolerance. Which of the following statements made by the nurse best reflects an understanding of the nurse’s role to properly instruct the ancillary personnel regarding this task? 1. “Stop the walking if the client complains of pain or weakness.” 2. “Please […]
Which statement made by a postmenopausal client should the nurse evaluate as indicating the need for further assessment? 1. “For some reason, I have more sexual desire than ever.” 2. “I use water-soluble lubricant to treat my vaginal dryness.” 3. “I am so glad that I don’t need to worry about sex anymore.” 4. “Sex […]
The client tells the nurse that “blowing into this tube thing (incentive spirometer) is a ridiculous waste of time.” The nurse explains that the specific purpose of the therapy is to: 1. Directly remove excess secretions from the lungs 2. Increase pulmonary circulation 3. Promote lung expansion 4. Stimulate the cough reflex ANSWER ANS: […]
A nurse should be aware that adolescent clients who are discussing spirituality often: 1. Have a good concept of a supreme being 2. Question religious practices and/or values 3. Fully accept the higher meaning of their faith 4. Often give themselves over to spiritual tasks ANSWER ANS: 2 Adolescents often reconsider their childlike concept […]
The nurse is conducting a health history for a client with a respiratory disorder. What should the nurse include in this assessment? 1. Lifestyle 2. Presence of cough 3. Sputum production 4. Pain 5. Diet ANSWER Correct Answer: 1, 2, 3, 4 Rationale: A comprehensive nursing history relevant to oxygenation status should include data […]
The nurse needs to assess a client’s respiratory status. Which client position would be the best for this assessment? 1. Prone 2. Semi-Fowler’s 3. Side-lying 4. Supine ANSWER Correct Answer: 2 Rationale 1: The prone position increases the volume of blood inside the thoracic cavity and compresses the chest, compromising the client’s respirations. Rationale […]
