The nurse has a multiple client assignment on the surgical unit. On beginning the shift, the nurse needs to determine which postoperative client should be seen first. Of the following, the nurse should go to see the client who: 1. Has a documented blood pressure of 90/50 2. Was medicated for back pain 10 minutes […]
Date: September 15th, 2020
The client experienced a near-death experience and was successfully resuscitated. The nurse wants to provide the opportunity for the client to discuss the near-death experience. The most appropriate response by the nurse is: 1. “This is a common experience that is easily explained.” 2. “That must have been a very awful experience for you.” 3. […]
Date: September 14th, 2020
A client has just gotten out of bed to go to the bathroom. As the nurse enters the room, the client says, “I feel dizzy.” The nurse should: 1. Go for help 2. Take the client’s blood pressure 3. Assist the client into a sitting position 4. Tell the client to take several deep breaths […]
Date: September 14th, 2020
A nurse is caring for a client who experienced short-term memory loss as a result of a head injury. Which of the following statements made by the nurse regarding goal setting requires follow-up by the nurse manager? 1. “The client will certainly need frequent reorientation to the care plan goals.” 2. “I will restate the […]
Date: September 14th, 2020
A nurse is providing care for a client receiving normal saline when the IV infiltrates. Which of the following nursing actions represents the evaluation phase of the nursing process? 1. IV is discontinued. 2. Warm compress applied to IV site. 3. Site reinspected for presence of swelling. 4. IV site observed as having significant swelling. […]
Date: September 14th, 2020
A newly hospitalized client is demonstrating anxiety and stress. What intervention can the nurse plan to help this client? 1. Explain all procedures in detail before performing them. 2. Let the client make the majority of decisions about the plan of care. 3. Control the environment of healing. 4. Demonstrate staff competence by using multiple […]
Date: September 14th, 2020
The nurse teaches a client that prolonged use of the antibiotic streptomycin may result in: 1. Damage to the auditory nerve 2. Alteration in perception 3. Optic irritation 4. Loss of taste ANSWER ANS: 1 Some antibiotics, such as streptomycin, gentamicin, and tobramycin, are ototoxic and can per-manently damage the auditory nerve. Narcotic analgesics, […]
Date: September 14th, 2020
Which of the following is a recognized focus area for quality improvement (performance im-provement) evaluations? (Select all that apply.) 1. Effective care 2. Delivery of care 3. Client satisfaction 4. Exceeding the standard of care 5. Identification of ‘missed’ client needs 6. Multidisciplinary approach to client care ANSWER ANS: 1, 2, 3, 4 Quality […]
Date: September 14th, 2020
Nurses have the opportunity to work in a wide variety of health care agencies around the world. The practice setting where the majority of nurses continue to work is: 1. Acute care 2. Home care 3. Long-term care 4. Ambulatory care ANSWER ANS: 1 Most nurses provide direct client care in the hospital setting. […]
Date: September 14th, 2020
The nurse working in an adult medical clinic wishes to learn more about a developmental theory that focuses on the adult years. The nurse investigates different possibilities and selects the theo-ry proposed by: 1. Gould 2. Piaget 3. Freud 4. Chess and Thomas ANSWER ANS: 1 Gould’s theory of psychosocial development specifically focuses on […]
Date: September 14th, 2020
