The nurse is discussing a newly ordered diuretic with an older adult client who is home-bound. Which of the following suggestions has the greatest potential for minimizing the client’s risk for injury related to urinary urgency or incontinence? 1. Consider decreasing fluid intake after 6 PM. 2. Illuminate the path to the bathroom at night. […]
A client on the medical unit is taking steroids and also has a wound from a minor injury. To pro-mote wound healing for this client, the nurse recommends that which of the following be specif-ically added? 1. Iron 2. Folic acid 3. Vitamin A 4. B complex vitamins ANSWER ANS: 3 Vitamin A can […]
In the emergency department a client feels that she has been waiting longer than the other indi-viduals due to the fact that she has no insurance. The ethical principle that is involved in this ex-act situation is: 1. Justice 2. Autonomy 3. Beneficence 4. Nonmaleficence ANSWER ANS: 1 Justice refers to treating people fairly. […]
In gathering information for the admission data base, the nurse discovers that a client who was admitted to the hospital for a total hip replacement has been taking ginkgo biloba to help with their memory. The nurse knows that this may cause an interaction with which of the medications that will likely be ordered for […]
An adolescent female student, who is sexually active, visits the office of the school nurse. Which of the following statements best reflects her understanding of the effective use of contraception devices? 1. “My boyfriend is able to withdraw before ejaculation, and that prevents me from getting pregnant.” 2. “I take my temperature every morning; when […]
The nurse is preparing a community outreach program on stress management. The nurse realizes that speaking in public requires some specific adaptations regarding: (Select all that apply.) 1. Makeup 2. Clothing attire 3. Vocal inflection 4. Voice projection 5. Physical gesturing 6. Making eye contact ANSWER ANS: 3, 4, 5, 6 Public communication requires […]
A client complains of difficulty breathing. What will the nurse most likely assess in this client? 1. Use of accessory muscles 2. Increased respiratory depth 3. Increased respiratory rate 4. Decreased respiratory depth 5. Decreased respiratory rate ANSWER Correct Answer: 1, 2, 3, 4 Rationale 1: Use of accessory muscles is an assessment finding […]
The client needs to use crutches at home, and will have to manage going up and down a short flight of stairs. The nurse evaluates the use of an appropriate technique if the client: 1. Uses a banister or wall for support when descending 2. Uses one crutch for support while going up and down […]
The nurse, caring for a comatose Muslim client who is dying, realizes that from a cultural stand-point, the most therapeutic intervention is to: 1. Facilitate the client’s peaceful, pain-controlled death 2. Become familiar with Muslim death and dying traditions 3. Approach the family to identify and discuss any needs that exist 4. Arrange for a […]
A 45-year-old male client shares with the nurse that he has noticed that when he is anxious he feels short of breath. The nurse shares with the client that dyspnea can be caused by many conditions and that the cli-ent can make an objective assessment of the severity of the dyspnea by using which of […]
