To reduce the chance of external hip rotation in a client on prolonged bed rest, the nurse should implement the use of a: 1. Footboard 2. Trochanter roll 3. Trapeze bar 4. Bed board ANSWER ANS: 2 A trochanter roll prevents external rotation of the hips when the client is in a supine position. […]
Date: September 14th, 2020
Which of the following clients who is experiencing the heat of mid-August is at greatest risk for heatstroke or heat exhaustion? 1. A 65-year-old diagnosed with COPD 2. A 35-year-old novice marathon runner 3. A 15-year-old playing in an outdoor tennis tournament 4. A 9-month-old whose bedroom is cooled with a mechanical fan ANSWER […]
Date: September 14th, 2020
Which of the following interventions best reflects the nurse’s understanding of direct care inter-ventions regarding a cognitively impaired client’s need for social interaction? 1. Arranging for the client to attend a “sing along” in the dayroom 2. Helping the client place a long distance telephone call to his daughter 3. Turning the client’s television on […]
Date: September 14th, 2020
During an assessment, a client tells the nurse of a desire to wear clothing that is typically associated with the opposite sex. The nurse realizes this client is describing which gender identity? 1. Intersex 2. Transgenderism 3. Homosexuality 4. Cross-dressing ANSWER Correct Answer: 4 Rationale 1: Intersex is a condition in which there are […]
Date: September 14th, 2020
A client recovering from a transurethral resection of the prostate (TURP) with a three-way indwelling catheter expresses the need to urinate. Which action should the nurse take to help this client? 1. Deflate and then reinflate the balloon. 2. Irrigate the catheter. 3. Reposition the catheter. 4. Retape the catheter to the abdomen. ANSWER […]
Date: September 14th, 2020
The husband of a client with terminal cancer has expressed a high degree of stress over his role as caregiver. When asked whether he has suicidal or homicidal thoughts he answered, “Sometimes.” Which of the following nursing statements is most therapeutic initially? 1. “What is the hardest part about your wife’s impending death?” 2. “Can […]
Date: September 14th, 2020
The greatest risk to a child of adolescent parents comes from the: 1. Increased family stressors resulting in domestic violence 2. Lack of appropriate parenting resources and role models 3. Statically high potential for physical and emotional abuse 4. Parents inability to provide health care and economic support ANSWER ANS: 2 The greatest risk […]
Date: September 14th, 2020
To best improve the bathing care provided by a particular staff member, the nurse manager should: 1. Tell the staff member how to correctly give baths to clients 2. Provide the staff member with good resources to read on bathing clients 3. Ask another staff member to provide the unit’s bathing care in the afternoon […]
Date: September 14th, 2020
The spouse of a client diagnosed with Stage I/II Alzheimer’s disease must continue to work full-time. The spouse tells the occupational health nurse that the client has started to wander outside the house, forgets to turn off the stove after preparing food, and tries to drive the car if the client finds the keys. The […]
Date: September 14th, 2020
Which of the following nursing assessment data are most reflective of hypothermia? 1. Cyanotic lips, fingers, and toes 2. Rectal temperature of 35° C (95° F) 3. Bradycardia of 56 beats per minute 4. Exposure to outdoor temperatures of
Date: September 14th, 2020
