The nurse recognizes which of the following clients is at the greatest risk for dehydration? 1. A 35-year-old client diagnosed with Crohn’s disease 2. A 15-year-old client who is following a low-carbohydrate diet 3. A 2-year-old client diagnosed with an allergy to milk proteins 4. A 79-year-old client who has been diagnosed with advanced Alzheimer’s […]
A client tells the nurse that the newly diagnosed communicable disease is negatively impacting employment and causing a stressful situation at home. What diagnosis should the nurse select as a priority for this client? 1. Anxiety 2. Acute Pain 3. Social Isolation 4. Low Self-Esteem ANSWER Correct Answer: 1 Rationale 1: Anxiety is appropriate […]
A nurse is helping to set up an elder social group at a local senior center where residents can come to play cards or participate in structured activities three times a week. This nurse is working in which function of community? 1. Socialization 2. Social control 3. Social interparticipation 4. Mutual support ANSWER Correct […]
A client with chronic respiratory problems tells the nurse, “I haven’t felt this good in a long time.” The nurse realizes that the statement most reflects the client’s: 1. Willingness to share his feelings 2. Acceptance of his physical limitations 3. Personal definition of his individual health 4. Acknowledgment of his chronic health problems […]
The new staff nurse is having her documentation evaluated by the charge nurse. On review of her charting, the charge nurse notes that there is evidence of appropriate documentation when the new staff nurse: 1. Uses a pencil to make the entries 2. Uses correction fluid to correct written errors 3. Identifies an error made […]
A client is going to have a cystoscopy. Which of the following reflects the correct information that should be taught before the procedure? 1. “Are you allergic to iodine?” 2. “There will be no need to have a special consent form.” 3. “You will need to have fluids restricted the evening before the cystoscopy.” 4. […]
A hospitalized client tells the nurse of the inability to have a bowel movement because “too many people are around.” What should the nurse do to promote normal fecal elimination for this client? 1. Provide a laxative. 2. Assist the client to the bathroom to ensure privacy. 3. Restrict fluids. 4. Assist the client with […]
The client has a body mass index (BMI) of 18. How should the nurse interpret this finding? 1. The client is malnourished. 2. The client is underweight. 3. The client is normal. 4. The client is overweight. ANSWER Correct Answer: 2 Rationale 1: Clients who have a BMI of less than 16 are considered […]
A client is in the end stages of cancer. By which type of service would this client best be served? 1. Rehabilitation 2. Health restoration 3. Acute care 4. Palliative care ANSWER Correct Answer: 4 Rationale 1: Rehabilitation is a process of restoring ill or injured people to optimum and functional levels of wellness, […]
The wife of a 70-year-old client who is recuperating at home from hip replacement surgery ex-presses a concern to the nurse that “He must be getting depressed. He just doesn’t interact with people like he used to.” Which of the following is the nurse’s most therapeutic response? 1. “Are there any other signs of depressions?” […]
