An adult client who cannot read needs surgery and is competent to make his own decisions. The best action of the nurse is to: 1. Tell the client in the nurse’s own words what the surgical procedure involves. 2. Read the consent form to the client and have the client state understanding. 3. Make sure […]
Date: September 14th, 2020
The following statement: “Upon exertion, the client is wheezing and experiencing some dysp-nea,” is an example of: 1. The “P” of PIE 2. FOCUS documentation 3. The “R” in DAR documentation 4. The “S” in SOAP documentation ANSWER ANS: 1 These data are examples of the “P” of PIE because they describe the problem. […]
Date: September 14th, 2020
A client sustained several wounds on the legs caused by a fall. On the day after the injuries, the wounds appear red and edematous. The nurse identifies the stage of healing of these wounds as being in which phase? 1. Inflammatory 2. Proliferative 3. Maturation 4. Remodeling ANSWER Correct Answer: 1 Rationale 1: The […]
Date: September 14th, 2020
The nurse is instructing a client on ostomy care. What should be included in this teaching? 1. Change the drainage pouch daily. 2. Clothing of a special style will be needed now that a pouch is worn. 3. Stick a pin into the drainage pouch to relieve any gas buildup. 4. Secure the faceplate to […]
Date: September 14th, 2020
When formulating a definition of “health,” the nurse should consider that health, within its cur-rent definition, is: 1. The absence of disease 2. A function of the physiological state 3. The ability to pursue activities of daily living 4. A state of well-being involving the whole person ANSWER ANS: 4 When formulating a definition […]
Date: September 14th, 2020
The client is admitted with a possible deep vein thrombosis. Nursing interventions should be designed to prevent which complication? 1. Myocardial infarction 2. Renal failure 3. Pulmonary embolism 4. Pneumonia ANSWER Correct Answer: 3 Rationale 1: The thrombus is less likely to cause a myocardial infarction. Rationale 2: The thrombus is not going to […]
Date: September 14th, 2020
A nurse educator incorporates stress, power, authority, and personal space along with other concepts and considers these concepts essential knowledge for use by nurses. The educator is applying principles from which theorist into the curriculum? 1. Dorothea Orem 2. Imogene King 3. Jean Watson 4. Hildegard Peplau ANSWER Correct Answer: 2 Rationale 1: Orem’s […]
Date: September 14th, 2020
The nurse recognizes that ethnicity differs from race in that ethnicity: 1. Refers to subgroups within a race 2. Is a unique factor within a cultural group 3. Includes more than biological identification 4. Is the set of conflicting values between races ANSWER ANS: 3 Ethnicity refers to a shared identity related to social […]
Date: September 14th, 2020
A client is scheduled for a barium enema. What is the nursing priority for this client? 1. Assess bowel sounds. 2. Assess for allergies. 3. Cleanse the bowel. 4. Keep the client NPO. ANSWER Correct Answer: 3 Rationale 1: Assessing bowel sounds is important, but if the bowel is not free of feces, the […]
Date: September 14th, 2020
When planning care for a client with newly diagnosed hypertension, the nurse knows that which form of exercise would be most beneficial in lowering both systolic and diastolic blood pressure? 1. Lifting weights 2. Running 3. Bicycling 4. Competitive swimming ANSWER ANS: 3 Low-moderate intensity exercise is the most effective in lowering blood pressure. […]
Date: September 14th, 2020
